Mostafavipour, Hassan S
Mostafavipour, Hassan S is an individual health care provider with primary practice located at 1777 Montreal Cir , Tucker GA 30084-6802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Mostafavipour, Hassan S can be contacted via phone (770) 621-7422.Contact Information
Primary practice address
1777 Montreal Cir
Tucker GA 30084-6802
Phone: (770) 621-7422
Fax: (770) 621-7530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 048921 | Georgia |
Profile Details
| NPI number | 1609059476 |
|---|---|
| LBN Legal business name | Mostafavipour, Hassan S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2007 |
| Last updated | Dec 14th, 2007 - about 19 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 | 1609059476 | NPPES |
| Georgia | Other | 048921 | MEDICAL LICENSE |
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