Ghalili, Kourosh C

Ghalili, Kourosh C is an individual health care provider with primary practice located at 3070 Bristol Pike Ste 2-106 , Bensalem PA 19020-5357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Ghalili, Kourosh C can be contacted via phone (215) 447-8612.

Contact Information

Primary practice address
3070 Bristol Pike Ste 2-106 Bensalem PA 19020-5357
Phone: (215) 447-8612
Fax: (267) 522-8209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD429774 Pennsylvania

Profile Details

NPI number 1053305490
LBN Legal business name Ghalili, Kourosh C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Dec 26th, 2018 - about 6 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 1053305490 NPPES
Pennsylvania MEDICAID 1018398010001
Pennsylvania MEDICAID 1018398010002

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