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Contact Information

SASHA F KHOSRAVI, DO
411 LAUREL ST
SUITE 3310
DES MOINES, IA50314-3017
 Phone: 515-643-6290
 Fax: 515-643-6291
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for SASHA F KHOSRAVI · (Male)

NPI Number 1003878307
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/04/2006
Last updated 07/24/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 3675
  • MO License # 2004007607
Hospital affiliation(s)
  • MERCY MEDICAL CENTER-DES MOINES - (Acute Care)
    1111 6TH AVE
    DES MOINES, IA 50314
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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