Minouei, Mohammadreza

Minouei, Mohammadreza is an individual health care provider with primary practice located at 303 N. Clyde Morris Blvd Suite 201, Daytona Beach FL 32114-2709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Minouei, Mohammadreza can be contacted via phone (386) 226-4542.

Contact Information

Primary practice address
303 N. Clyde Morris Blvd Suite 201 Daytona Beach FL 32114-2709
Phone: (386) 226-4542
Fax: (386) 229-2354
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD430780 Pennsylvania
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME103732 Florida

Profile Details

NPI number 1316074701
LBN Legal business name Minouei, Mohammadreza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Apr 20th, 2021 - about 3 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 1316074701 NPPES
Pennsylvania MEDICAID 101855627

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