Ferdows, Mehdi S
Ferdows, Mehdi S is an sole proprietor health care provider with primary practice located at 814 Ne 87Th Ave , Vancouver WA 98664-1915. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ferdows, Mehdi S can be contacted via phone (360) 823-0880.Contact Information
Primary practice address
814 Ne 87Th Ave
Vancouver WA 98664-1915
Phone: (360) 823-0880
Fax: (360) 823-0883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD000411 | Washington |
Profile Details
| NPI number | 1518960616 |
|---|---|
| LBN Legal business name | Ferdows, Mehdi S |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2005 |
| Last updated | Jun 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518960616 | NPPES |
| Washington | MEDICAID | 1120799 |
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