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
Fax: (409) 899-8510
Website:

Health care specialties

SpecialtyCodeLicense #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 2 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 1417956111 NPPES
Texas MEDICAID PO89011J2

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