Mostafavi, Mahmoud

Mostafavi, Mahmoud is an individual health care provider with primary practice located at 1350 Hickory St , Melbourne FL 32901-3224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Mostafavi, Mahmoud can be contacted via phone (321) 434-1771.

Contact Information

Primary practice address
1350 Hickory St Melbourne FL 32901-3224
Phone: (321) 434-1771
Fax: (321) 434-1775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME85423 Florida

Profile Details

NPI number 1508856774
LBN Legal business name Mostafavi, Mahmoud
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Apr 11th, 2022 - 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 1508856774 NPPES
Florida Other E7650U MEDICARE
Florida MEDICAID 276013400 MEDICARE

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