Mostafavi, Mahmoud
Mostafavi, Mahmoud is an individual health care provider with primary practice located at 1350 Hickory St , Melbourne FL 32901-3224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Mostafavi, Mahmoud can be contacted via phone (321) 434-1771.Contact Information
Primary practice address
1350 Hickory St
Melbourne FL 32901-3224
Phone: (321) 434-1771
Fax: (321) 434-1775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME85423 | Florida |
Profile Details
| NPI number | 1508856774 |
|---|---|
| LBN Legal business name | Mostafavi, Mahmoud |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Apr 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508856774 | NPPES |
| Florida | Other | E7650U | MEDICARE |
| Florida | MEDICAID | 276013400 | MEDICARE |
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