Kasraeian, Ahmad

Kasraeian, Ahmad is an individual health care provider with primary practice located at 6269 Beach Blvd Ste 2, Jacksonville FL 32216-2705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kasraeian, Ahmad can be contacted via phone (904) 727-7955.

Contact Information

Primary practice address
6269 Beach Blvd Ste 2 Jacksonville FL 32216-2705
Phone: (904) 727-7955
Fax: (904) 727-7976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X FLME 0029693 Florida

Profile Details

NPI number 1659374320
LBN Legal business name Kasraeian, Ahmad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Aug 2nd, 2012 - about 12 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 1659374320 NPPES
Florida MEDICAID 043722100

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