Khosravani, Ali

Khosravani, Ali is an individual health care provider with primary practice located at 1447 Medical Park Blvd #402, Wellington FL 33414. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Khosravani, Ali can be contacted via phone (561) 790-2600.

Contact Information

Primary practice address
1447 Medical Park Blvd #402 Wellington FL 33414
Phone: (561) 790-2600
Fax: (561) 790-1535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME70966 Florida

Profile Details

NPI number 1801827415
LBN Legal business name Khosravani, Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Dec 1st, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801827415 NPPES
Florida MEDICAID 47177100

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