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ALIREZA KHONSARI, MD – NPI #1154392348
Diagnostic Radiology

NPI Profile for Dr ALIREZA KHONSARI in WABASH, IN.

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Contact Information

ALIREZA KHONSARI, MD
710 NORTH EAST STREET
WABASH COUNTY HOSPITAL
WABASH, IN  46992
 Phone: 260-569-2240
 Fax: 260-569-2380
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

 2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for ALIREZA KHONSARI · (Male)

NPI Number 1154392348
Status Active
Credentials MD
Entity Individual
Enumeration date 01/27/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 01033004A
  • IN Other 136270GG MEDICARE
Hospital affiliation(s) Not Available
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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