Nazari, Kourosh
Nazari, Kourosh is an individual health care provider with primary practice located at 801 N Stone St , Deland FL 32720-3255. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Nazari, Kourosh can be contacted via phone (386) 734-4431.Contact Information
Primary practice address
801 N Stone St
Deland FL 32720-3255
Phone: (386) 734-4431
Fax: (386) 738-1045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME80448 | Florida |
Profile Details
| NPI number | 1881685741 |
|---|---|
| LBN Legal business name | Nazari, Kourosh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1881685741 | NPPES |
| Florida | MEDICAID | 265118100 |
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