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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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 1972562593 NPPES
North Carolina MEDICAID 8936503

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