Atashirang, Ghassem Khan
Atashirang, Ghassem Khan is an individual health care provider with primary practice located at 2130 S Buckner Blvd , Dallas TX 75227-8601. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Atashirang, Ghassem Khan can be contacted via phone (214) 381-1700.Contact Information
Primary practice address
2130 S Buckner Blvd
Dallas TX 75227-8601
Phone: (214) 381-1700
Fax: (214) 381-1497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 03756 | Texas |
| Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 03756 | Texas |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 03756 | Texas |
Profile Details
| NPI number | 1801011937 |
|---|---|
| LBN Legal business name | Atashirang, Ghassem Khan |
| Credentials | OD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2007 |
| Last updated | Dec 9th, 2019 - about 5 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 | 1801011937 | NPPES |
| Texas | Other | 526446 | OE NUMBER OPTOMETIC EDUCA |
| Texas | Other | 910075 | OE NUMBER OPTOMETIC EDUCA |
| Texas | MEDICAID | GOOOE78S6 | OE NUMBER OPTOMETIC EDUCA |
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