Mirakhor, Soleyman
Mirakhor, Soleyman is an individual health care provider with primary practice located at 120 N Ashwood Ave , Ventura CA 93003-1810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mirakhor, Soleyman can be contacted via phone (805) 667-2850.Contact Information
Primary practice address
120 N Ashwood Ave
Ventura CA 93003-1810
Phone: (805) 667-2850
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | C52017 | California |
Profile Details
| NPI number | 1003864067 |
|---|---|
| LBN Legal business name | Mirakhor, Soleyman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | May 23rd, 2012 - about 14 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 | 1003864067 | NPPES |
| Wisconsin | MEDICAID | 32319200 | |
| Wisconsin | Other | 112345206002 | |
| Wisconsin | Other | P00183975 |
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