Heidary, Dariush
Heidary, Dariush is an individual health care provider with primary practice located at 4750 Waters Ave Suite 452, Savannah GA 31404-6200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Heidary, Dariush can be contacted via phone (912) 354-7188.Contact Information
Primary practice address
4750 Waters Ave Suite 452
Savannah GA 31404-6200
Phone: (912) 354-7188
Fax: (912) 354-5208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 018668 | Georgia |
Profile Details
| NPI number | 1720028517 |
|---|---|
| LBN Legal business name | Heidary, Dariush |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Feb 7th, 2011 - about 15 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 | 1720028517 | NPPES |
| South Carolina | MEDICAID | 146170 | |
| South Carolina | Other | P00279274 | |
| South Carolina | Other | 582162071066 | |
| South Carolina | Other | 967351 | |
| South Carolina | MEDICAID | 000133042D |
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