Mahdavi, Khosrow

Mahdavi, Khosrow is an individual health care provider with primary practice located at 1640 Newport Blvd Ste 400 , Costa Mesa CA 92627-3786. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Mahdavi, Khosrow can be contacted via phone (949) 999-2400.

Contact Information

Primary practice address
1640 Newport Blvd Ste 400 Costa Mesa CA 92627-3786
Phone: (949) 999-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X A33589 California
Other Service Providers / Specialist 174400000X A33589 California
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X A33589 California
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X A33589 California

Profile Details

NPI number 1275536773
LBN Legal business name Mahdavi, Khosrow
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Nov 15th, 2023 - about 2 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 1275536773 NPPES
California Other A33589 LICENSE NUMBER

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