Heidarian, Nosratollah
Heidarian, Nosratollah is an individual health care provider with primary practice located at 9530 Viscount Ste 2P , El Paso TX 79925. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Heidarian, Nosratollah can be contacted via phone (915) 591-4499.Contact Information
Primary practice address
9530 Viscount Ste 2P
El Paso TX 79925
Phone: (915) 591-4499
Fax: (915) 591-3011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1043P | Texas |
Profile Details
| NPI number | 1700988441 |
|---|---|
| LBN Legal business name | Heidarian, Nosratollah |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700988441 | NPPES |
| Texas | Other | 4209016 | AETNA |
| Texas | Other | B19A | AETNA |
| Texas | MEDICAID | 1104721036 | AETNA |
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