Mashour, Steve Khodadad

Mashour, Steve Khodadad is an individual health care provider with primary practice located at 343 Elm St Suite 402, Reno NV 89503-4522. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Mashour, Steve Khodadad can be contacted via phone (775) 770-7640.

Contact Information

Primary practice address
343 Elm St Suite 402 Reno NV 89503-4522
Phone: (775) 770-7640
Fax: (775) 770-7650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 10761 Nevada
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10761 Nevada
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 10761 Nevada

Profile Details

NPI number 1821075573
LBN Legal business name Mashour, Steve Khodadad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Oct 31st, 2016 - about 9 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 1821075573 NPPES
Nevada MEDICAID 100503309

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