Sorouri, Bijan

Sorouri, Bijan is an individual health care provider with primary practice located at 10 Darwin Dr Suite C, Newark DE 19711-6658. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Sorouri, Bijan can be contacted via phone (302) 453-9171.

Contact Information

Primary practice address
10 Darwin Dr Suite C Newark DE 19711-6658
Fax: (302) 453-0732
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C10003167 Delaware

Profile Details

NPI number 1114016615
LBN Legal business name Sorouri, Bijan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Feb 13th, 2008 - about 17 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 1114016615 NPPES
Delaware MEDICAID 0000059001

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