Tabassi, Khosrow

Tabassi, Khosrow is an individual health care provider with primary practice located at 515 Fairmount Ave Ste 500 , Towson MD 21286-5466. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Tabassi, Khosrow can be contacted via phone (410) 494-1662.

Contact Information

Primary practice address
515 Fairmount Ave Ste 500 Towson MD 21286-5466
Phone: (410) 494-1662
Fax: (410) 494-1718
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X D0046356 Maryland

Profile Details

NPI number 1023060530
LBN Legal business name Tabassi, Khosrow
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 21st, 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 1023060530 NPPES
Maryland MEDICAID 148981000

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