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
Fax: (704) 550-5404
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558342618 NPPES
North Carolina Other 131XT BCBS
North Carolina MEDICAID 89131XT BCBS
North Carolina Other 080187671 BCBS

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