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NPI Profile for KUROUSH ALIGHOLIZADEH in MOUNT AIRY, MD.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice |
| NPI Number | 1144734492 |
|
| Status | Active | |
| Credentials | CRNP (Certified Registered Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 11/23/2017 | |
| Last updated | 12/28/2017 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KUROUSH ALIGHOLIZADEH
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KUROUSH ALIGHOLIZADEH, CRNP