Kavouspour, Darioush
Kavouspour, Darioush is an individual health care provider with primary practice located at 2965 Harrison St Ste 211 , Beaumont TX 77702-1149. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Kavouspour, Darioush can be contacted via phone (409) 899-8501.Contact Information
Primary practice address
2965 Harrison St Ste 211
Beaumont TX 77702-1149
Phone: (409) 899-8501
Fax: (409) 899-8510
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | K4467 | Texas |
Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | K4467 | Texas |
Profile Details
NPI number | 1417956111 |
---|---|
LBN Legal business name | Kavouspour, Darioush |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 15th, 2005 |
Last updated | Sep 19th, 2022 - about 3 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 | 1417956111 | NPPES |
Texas | MEDICAID | PO89011J2 |
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