Pourcyrous, Massroor

Pourcyrous, Massroor is an individual health care provider with primary practice located at 1910 Nonconnah Blvd Suite 120, Memphis TN 38132-2113. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Pourcyrous, Massroor can be contacted via phone (901) 448-2300.

Contact Information

Primary practice address
1910 Nonconnah Blvd Suite 120 Memphis TN 38132-2113
Fax: (901) 448-6657
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 16099 Tennessee

Profile Details

NPI number 1386601821
LBN Legal business name Pourcyrous, Massroor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Oct 16th, 2018 - about 8 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 1386601821 NPPES
Arkansas MEDICAID 114463001
Arkansas MEDICAID 3029400
Arkansas MEDICAID Q009919
Arkansas MEDICAID 0016174

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