Khazravan, Samira

Khazravan, Samira is an sole proprietor health care provider with primary practice located at 1200 Riverplace Blvd 620, Jacksonville FL 32207-9046. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Khazravan, Samira can be contacted via phone (904) 396-6620.

Contact Information

Primary practice address
1200 Riverplace Blvd 620 Jacksonville FL 32207-9046
Phone: (904) 396-6620
Fax: (904) 396-6528
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 245885 New York
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME100775 Florida

Profile Details

NPI number 1942494984
LBN Legal business name Khazravan, Samira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2007
Last updated Nov 22nd, 2013 - about 11 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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