Goudarzi, Kamran
Goudarzi, Kamran is an sole proprietor health care provider with primary practice located at 710 Military Cutoff Rd Ste 130 , Wilmington NC 28405-2382. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Goudarzi, Kamran can be contacted via phone (910) 769-3084.Contact Information
Primary practice address
710 Military Cutoff Rd Ste 130
Wilmington NC 28405-2382
Phone: (910) 769-3084
Fax: (910) 769-6023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25503 | North Carolina |
Profile Details
| NPI number | 1972562593 |
|---|---|
| LBN Legal business name | Goudarzi, Kamran |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | May 13th, 2020 - 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 | 1972562593 | NPPES |
| North Carolina | MEDICAID | 8936503 |
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