Rastgar, Khosrow

Rastgar, Khosrow is an individual health care provider with primary practice located at 1925 Pacific Ave , Atlantic City NJ 08401-6713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Rastgar, Khosrow can be contacted via phone (609) 441-2147.

Contact Information

Primary practice address
1925 Pacific Ave Atlantic City NJ 08401-6713
Phone: (609) 441-2147
Fax: (609) 441-2107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 25MA03458300 New Jersey

Profile Details

NPI number 1881694909
LBN Legal business name Rastgar, Khosrow
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jun 16th, 2010 - about 14 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 1881694909 NPPES
New Jersey MEDICAID 3816206

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