Kourosh, Atoosa

Kourosh, Atoosa is an individual health care provider with primary practice located at 1170 N Carroll Ave , Southlake TX 76092-5306. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology is her primary health care specialty. Kourosh, Atoosa can be contacted via phone (214) 702-6550.

Contact Information

Primary practice address
1170 N Carroll Ave Southlake TX 76092-5306
Phone: (214) 702-6550
Fax: (214) 894-4182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00044424 Washington
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X MD00044424 Washington
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X MD00044424 Washington

Profile Details

NPI number 1053401661
LBN Legal business name Kourosh, Atoosa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Nov 17th, 2022 - about 4 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 1053401661 NPPES
Washington Other P01733874 RR MEDICARE WVH

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