Mirakhor, Soleyman

Mirakhor, Soleyman is an individual health care provider with primary practice located at 120 N Ashwood Ave , Ventura CA 93003-1810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mirakhor, Soleyman can be contacted via phone (805) 667-2850.

Contact Information

Primary practice address
120 N Ashwood Ave Ventura CA 93003-1810
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C52017 California

Profile Details

NPI number 1003864067
LBN Legal business name Mirakhor, Soleyman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated May 23rd, 2012 - about 13 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 1003864067 NPPES
Wisconsin MEDICAID 32319200
Wisconsin Other 112345206002
Wisconsin Other P00183975

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