Kooshkabadi, Mohammad

Kooshkabadi, Mohammad is an sole proprietor health care provider with primary practice located at 229 Peachtree St Ne Ste 1200 , Atlanta GA 30303. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Kooshkabadi, Mohammad can be contacted via phone (404) 874-1788.

Contact Information

Primary practice address
229 Peachtree St Ne Ste 1200 Atlanta GA 30303
Phone: (404) 874-1788
Fax: (404) 872-4589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 058053 Georgia
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 58053 Georgia
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 058053 Georgia

Profile Details

NPI number 1740464189
LBN Legal business name Kooshkabadi, Mohammad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2007
Last updated Oct 11th, 2019 - about 5 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 1740464189 NPPES
Georgia MEDICAID 616446282F
Georgia MEDICAID 616446282V

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