Hooshmand, Ahmad M

Hooshmand, Ahmad M is an individual health care provider with primary practice located at 915 Southwest Blvd #E, Jefferson City MO 65109-5014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Hooshmand, Ahmad M can be contacted via phone (573) 634-4700.

Contact Information

Primary practice address
915 Southwest Blvd #E Jefferson City MO 65109-5014
Phone: (573) 634-4700
Fax: (573) 635-4003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X R1B54 Missouri

Profile Details

NPI number 1831175959
LBN Legal business name Hooshmand, Ahmad M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Jun 22nd, 2012 - about 14 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 1831175959 NPPES
Missouri Other 000015436 MEDICARE GROUP
Missouri MEDICAID 201565512 MEDICARE GROUP

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