Ghodsi, Ezam

Ghodsi, Ezam is an individual health care provider with primary practice located at 5301 Davis Ln Bldg A200 , Austin TX 78749-4062. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Ghodsi, Ezam can be contacted via phone (512) 494-4000.

Contact Information

Primary practice address
5301 Davis Ln Bldg A200 Austin TX 78749-4062
Phone: (512) 494-4000
Fax: (512) 494-4090
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X H7420 Texas
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X H7420 Texas

Profile Details

NPI number 1275599284
LBN Legal business name Ghodsi, Ezam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jun 10th, 2021 - about 3 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.

Request for update

Popular Providers