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Contact Information

KOUROSH REZAI, MD
6606 LYNDON B JOHNSON FWY STE 200
DALLAS, TX75240-6524
 Phone: 972-233-1999
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for KOUROSH REZAI · (Male)

NPI # 1871548404
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2006
Last updated 04/30/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # L1978
  • TX Medicaid 153527002
  • TX Medicaid 153527003
  • TX Medicaid 153527004
  • TX Other 8W1049 BCBS
  • TX Other 153527005 MEDICAID CSHCN
  • TX Other P00387569 RAILROAD
Hospital affiliation(s)
  • MEDICAL CITY DALLAS HOSPITAL - (Acute Care)
    7777 FOREST LANE
    DALLAS, TX 75230
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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