Khorsand-Ravan, Fariborz

Khorsand-Ravan, Fariborz is an individual health care provider with primary practice located at 88 Washington St C/O Morton Hospital, Taunton MA 02780-2465. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Khorsand-Ravan, Fariborz can be contacted via phone (508) 824-1280.

Contact Information

Primary practice address
88 Washington St C/O Morton Hospital Taunton MA 02780-2465
Phone: (508) 824-1280
Fax: (508) 824-7293
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD9948 Rhode Island
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 75558 Massachusetts

Profile Details

NPI number 1922039478
LBN Legal business name Khorsand-Ravan, Fariborz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Aug 7th, 2007 - about 17 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 1922039478 NPPES
Rhode Island MEDICAID 7008253

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