Mobasser, Shapour
Mobasser, Shapour is an individual health care provider with primary practice located at 11975 Morris Rd Suite 300, Alpharetta GA 30005-4419. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mobasser, Shapour can be contacted via phone (770) 521-2295.Contact Information
Primary practice address
11975 Morris Rd Suite 300
Alpharetta GA 30005-4419
Phone: (770) 521-2295
Fax: (770) 255-0333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 016743 | Georgia |
Profile Details
| NPI number | 1134106040 |
|---|---|
| LBN Legal business name | Mobasser, Shapour |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Aug 9th, 2013 - about 11 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 | 1134106040 | NPPES |
| Georgia | MEDICAID | 000117719G | |
| Georgia | MEDICAID | 000117719D | |
| Georgia | MEDICAID | 000117719E |
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