Azadi, Soroush Bahnamiri
Azadi, Soroush Bahnamiri is an sole proprietor health care provider with primary practice located at 4211 S Lamar Blvd Ste E-3, Austin TX 78704-7996. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Azadi, Soroush Bahnamiri can be contacted via phone (512) 916-4600.Contact Information
Primary practice address
4211 S Lamar Blvd Ste E-3
Austin TX 78704-7996
Phone: (512) 916-4600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 6642TG | Texas |
Profile Details
| NPI number | 1003825621 |
|---|---|
| LBN Legal business name | Azadi, Soroush Bahnamiri |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Sep 12th, 2012 - about 12 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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