Mesbahi, Kavoos Noori

Mesbahi, Kavoos Noori is an sole proprietor health care provider with primary practice located at 10535 Crestwood Dr 101, Manassas VA 20109-4416. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Mesbahi, Kavoos Noori can be contacted via phone (703) 257-2070.

Contact Information

Primary practice address
10535 Crestwood Dr 101 Manassas VA 20109-4416
Phone: (703) 257-2070
Fax: (703) 257-2072
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 0101037826 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101037826 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101037826 Virginia

Profile Details

NPI number 1154424232
LBN Legal business name Mesbahi, Kavoos Noori
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2006
Last updated Dec 11th, 2017 - about 8 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 1154424232 NPPES
Virginia MEDICAID 7310021

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