Horesh, Larry
Horesh, Larry is an individual health care provider with primary practice located at 4750 Waters Ave Suite 500, Savannah GA 31404-6200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Horesh, Larry can be contacted via phone (912) 352-8346.Contact Information
Primary practice address
4750 Waters Ave Suite 500
Savannah GA 31404-6200
Phone: (912) 352-8346
Fax: (912) 355-1414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 057481 | Georgia |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 057481 | Georgia |
Profile Details
| NPI number | 1154398709 |
|---|---|
| LBN Legal business name | Horesh, Larry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | Jan 11th, 2023 - about 3 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 | 1154398709 | NPPES |
| Georgia | MEDICAID | 308543732D | |
| Georgia | MEDICAID | G57481 | |
| Georgia | MEDICAID | 3852310 | |
| Georgia | MEDICAID | 308543732A | |
| Georgia | Other | 7124808 |
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