Moazemi, Kourosh

Moazemi, Kourosh is an individual health care provider with primary practice located at 611 W Park St , Urbana IL 61801-2529. 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. Moazemi, Kourosh can be contacted via phone (217) 383-3129.

Contact Information

Primary practice address
611 W Park St Urbana IL 61801-2529
Phone: (217) 383-3129
Fax: (217) 326-1550
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A78865 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036105401 Illinois

Profile Details

NPI number 1184774374
LBN Legal business name Moazemi, Kourosh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Dec 31st, 2020 - about 4 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 1184774374 NPPES
California Other A78865 CA LICENSE

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