Koohestani, Amir
Koohestani, Amir is an individual health care provider with primary practice located at 500 N 4Th St , Albemarle NC 28001-4024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Koohestani, Amir can be contacted via phone (704) 550-5516.Contact Information
Primary practice address
500 N 4Th St
Albemarle NC 28001-4024
Phone: (704) 550-5516
Fax: (704) 550-5404
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200200936 | North Carolina |
Profile Details
NPI number | 1558342618 |
---|---|
LBN Legal business name | Koohestani, Amir |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 7th, 2005 |
Last updated | Oct 8th, 2014 - about 10 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 | 1558342618 | NPPES |
North Carolina | Other | 131XT | BCBS |
North Carolina | MEDICAID | 89131XT | BCBS |
North Carolina | Other | 080187671 | BCBS |
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