Moosavy, Azita Ravanbakhsh

Moosavy, Azita Ravanbakhsh is an individual health care provider with primary practice located at 266 S College Ave , Newark DE 19711-5235. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Moosavy, Azita Ravanbakhsh can be contacted via phone (302) 368-2563.

Contact Information

Primary practice address
266 S College Ave Newark DE 19711-5235
Phone: (302) 368-2563
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C1-0008173 Delaware
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C1-0008173 Delaware

Profile Details

NPI number 1013086560
LBN Legal business name Moosavy, Azita Ravanbakhsh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Mar 7th, 2023 - 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 1013086560 NPPES
Delaware Other C1-0008173 MEDICAL LICENSE

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