Rezaei, Kianoush V
Rezaei, Kianoush V is an individual health care provider with primary practice located at 1675 E Main St Box 328, Kent OH 44240-5818. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Rezaei, Kianoush V can be contacted via phone (330) 593-1048.Contact Information
Primary practice address
1675 E Main St Box 328
Kent OH 44240-5818
Phone: (330) 593-1048
Fax: (330) 572-3836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME 101918 | Florida |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35.125669 | Ohio |
Profile Details
| NPI number | 1720026792 |
|---|---|
| LBN Legal business name | Rezaei, Kianoush V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Aug 29th, 2016 - about 8 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 | 1720026792 | NPPES |
| Ohio | MEDICAID | 0121669 |
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