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:
Health care specialties
| Specialty | Code | License # | 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 7 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 | 1154424232 | NPPES |
| Virginia | MEDICAID | 7310021 |
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