Derweesh, Ithaar
Derweesh, Ithaar is an individual health care provider with primary practice located at 200 W Arbor Dr , San Diego CA 92103-9000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Derweesh, Ithaar can be contacted via phone (800) 926-8273.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | C53383 | California |
Profile Details
| NPI number | 1003873720 |
|---|---|
| LBN Legal business name | Derweesh, Ithaar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Aug 13th, 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 | 1003873720 | NPPES |
| Tennessee | MEDICAID | 3332625 |
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