Moosazadeh, Kioomars
Moosazadeh, Kioomars is an individual health care provider with primary practice located at 2318 31St St Suite 210, Astoria NY 11105-2892. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Moosazadeh, Kioomars can be contacted via phone (718) 777-1885.Contact Information
Primary practice address
2318 31St St Suite 210
Astoria NY 11105-2892
Phone: (718) 777-1885
Fax: (718) 777-9613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 238359 | New York |
Profile Details
| NPI number | 1467423186 |
|---|---|
| LBN Legal business name | Moosazadeh, Kioomars |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Feb 19th, 2010 - about 15 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 | 1467423186 | NPPES |
| New York | Other | 238359 | LICENSE |
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