Kurbanov, Aleksandr

Kurbanov, Aleksandr is an individual health care provider with primary practice located at 134 Capital Dr Ste B , West Springfield MA 01089-1349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kurbanov, Aleksandr can be contacted via phone (413) 747-1817.

Contact Information

Primary practice address
134 Capital Dr Ste B West Springfield MA 01089-1349
Phone: (413) 747-1817
Fax: (413) 747-6120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 037499 Connecticut
Allopathic & Osteopathic Physicians / Surgery 208600000X 152971 Massachusetts

Profile Details

NPI number 1033100565
LBN Legal business name Kurbanov, Aleksandr
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Apr 16th, 2024 - about 2 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 1033100565 NPPES
Massachusetts MEDICAID 110060128A

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