Heidarian, Nosratollah

Heidarian, Nosratollah is an individual health care provider with primary practice located at 9530 Viscount Ste 2P , El Paso TX 79925. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Heidarian, Nosratollah can be contacted via phone (915) 591-4499.

Contact Information

Primary practice address
9530 Viscount Ste 2P El Paso TX 79925
Phone: (915) 591-4499
Fax: (915) 591-3011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1043P Texas

Profile Details

NPI number 1700988441
LBN Legal business name Heidarian, Nosratollah
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1700988441 NPPES
Texas Other 4209016 AETNA
Texas Other B19A AETNA
Texas MEDICAID 1104721036 AETNA

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