1902960644

Everything you always wanted to know about DR. KHORRAM D KOOROSH M.D. but were afraid to ask.

DR. KHORRAM D KOOROSH M.D.

You can also download the this 1902960644 data report as csv | excel | json | xml
Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
DR. KHORRAM D KOOROSH M.D.
Gender:
Male
Enumeration date:
2006-12-20
Last update date:
2007-07-09
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
101389 Medicare PIN none MP

Taxonomies

Taxonomy State License Number Primary?
207W00000X Ophthalmology MP 0102

Phone Numbers

Type Number
Mailing Address Telephone Number 6702359090
Practice Location Address Telephone Number 6702359090
Mailing Address Fax Number 6702359091
Practice Location Address Fax Number 6702359091

Addresses

Type Address City State Postal Country
Mailing Address PO BOX 503900 SAIPAN MP 96950 MP
Practice Location Address 503900 MOOTY 13 FISHERMEN BEACHROAD, GARAPAN SAIPAN MP 0 MP

Other NPI Records that share a phone number

NPI Name Address State City
1023168010 MARIANAS EYE INSTITUTE
Organization
503900 MOOTY MP SAIPAN
1720142466 ROBERTSON, MARK
Individual
503900 MOOTY 13 FISHERMEN BEACHROAD, GARAPAN MP SAIPAN

Other NPI Records that share an address

NPI Name Address State City
1023168010 MARIANAS EYE INSTITUTE
Organization
503900 MOOTY MP SAIPAN
1720142466 ROBERTSON, MARK
Individual
503900 MOOTY 13 FISHERMEN BEACHROAD, GARAPAN MP SAIPAN