Kourosh, Atoosa
Kourosh, Atoosa is an individual health care provider with primary practice located at 1170 N Carroll Ave , Southlake TX 76092-5306. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology is her primary health care specialty. Kourosh, Atoosa can be contacted via phone (214) 702-6550.Contact Information
Primary practice address
1170 N Carroll Ave
Southlake TX 76092-5306
Phone: (214) 702-6550
Fax: (214) 894-4182
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00044424 | Washington |
| Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | MD00044424 | Washington |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | MD00044424 | Washington |
Profile Details
| NPI number | 1053401661 |
|---|---|
| LBN Legal business name | Kourosh, Atoosa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Nov 17th, 2022 - about 3 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 | 1053401661 | NPPES |
| Washington | Other | P01733874 | RR MEDICARE WVH |
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