Massoumi, Kamran Mohajer
Massoumi, Kamran Mohajer is an individual health care provider with primary practice located at 1020 N Main St , Elk City OK 73644-2831. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Massoumi, Kamran Mohajer can be contacted via phone (580) 225-1555.Contact Information
Primary practice address
1020 N Main St
Elk City OK 73644-2831
Phone: (580) 225-1555
Fax: (580) 225-1558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 23117 | Oklahoma |
Profile Details
| NPI number | 1639172604 |
|---|---|
| LBN Legal business name | Massoumi, Kamran Mohajer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Apr 26th, 2024 - about last year |
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 | 1639172604 | NPPES |
| Oklahoma | Other | 2386811 | UNITED HEALTHCARE |
| Oklahoma | MEDICAID | 171274701 | UNITED HEALTHCARE |
| Oklahoma | MEDICAID | 200015260A | UNITED HEALTHCARE |
| Oklahoma | Other | 7072482 | UNITED HEALTHCARE |
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