Basic, Katherina Kobraei

Basic, Katherina Kobraei is an individual health care provider with primary practice located at 1601 Sw Archer Rd , Gainesville FL 32608-1197. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Basic, Katherina Kobraei can be contacted via phone (352) 337-4900.

Contact Information

Primary practice address
1601 Sw Archer Rd Gainesville FL 32608-1197
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME105569 Florida

Profile Details

NPI number 1457448342
LBN Legal business name Basic, Katherina Kobraei
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jun 23rd, 2023 - about 2 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 1457448342 NPPES
Florida MEDICAID 002471100

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