Mazda, Firdausi F
Mazda, Firdausi F is an sole proprietor health care provider with primary practice located at 360 W Butterfield Rd Ste 245, Elmhurst IL 60126-5068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mazda, Firdausi F can be contacted via phone (630) 941-2646.Contact Information
Primary practice address
360 W Butterfield Rd Ste 245
Elmhurst IL 60126-5068
Phone: (630) 941-2646
Fax: (630) 941-3464
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 036-053459 | Illinois |
Profile Details
| NPI number | 1437138245 |
|---|---|
| LBN Legal business name | Mazda, Firdausi F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Dec 10th, 2013 - about 11 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 | 1437138245 | NPPES |
| Illinois | MEDICAID | 0360534593 |
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