Easa Ghoreishi in Chesterton - Adolescent Medicine
Easa Ghoreishi - NPI 1417942228
Easa Ghoreishi is a Adolescent Medicine in Chesterton, Indiana. Easa Ghoreishi practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Easa Ghoreishi is 1417942228. The last update date is 2015-06-18.
Easa Ghoreishi's current location address is 810 Michael Dr, Chesterton, Indiana. You can contact this provider via phone number 2193952142 and fax number 2199294292. The mailing address for Easa Ghoreishi is 810 Michael Dr, Chesterton, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Easa Ghoreishi |
|---|---|
| Address | 810 Michael Dr, Chesterton, Indiana |
| Phone Number | 2193952142 |
| Fax Number | 2199294292 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1417942228 |
|---|---|
| Provider Enumeration Date | 2005-09-19 |
| Last Updated Date | 2015-06-18 |
Provider Mailing Address Detail
| Address | 810 Michael Dr |
|---|---|
| City | Chesterton |
| State | Indiana (IN) |
| Post Code | 463042694 |
| Phone Number | 2193952142 |
| Fax Number | 2199294292 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Qa0000X |
| Licence No | 01050773A |
|
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 371646 | IN | ANTHEM | |
| 200317290 | IN | -- | |
| P00258168 | RR MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Easa Ghoreishi by the Centers for Medicare & Medicaid Services?
The Easa Ghoreishi has been issued the NPI (National Provider Identifier) 1417942228, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Easa Ghoreishi located?
The Easa Ghoreishi is located at 810 Michael Dr, Chesterton, IN 463042694.
What is Easa Ghoreishi's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Easa Ghoreishi's specialized field of practice is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qa0000X.
On what date did Easa Ghoreishi receive its 1417942228 assignment from the Centers for Medicare & Medicaid Services?
The Easa Ghoreishi was assigned its 1417942228 on 2005-09-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Easa Ghoreishi's information last updated?
The Easa Ghoreishi's information was last updated on 2015-06-18.
Address: 1837 S Magnolia Ave, Yuma, AZ
Address: 615 Shipyard Blvd, Wilmington, NC
Address: 175 Cross Keys Rd, Berlin, NJ
Address: 175 Cross Keys Rd # 300 A, Berlin, NJ
Address: 100 Brewster Blvd, Camp Lejeune, NC
Address: 6841 Blanding Blvd, Jacksonville, FL
Address: Po Box 11247, Berkeley, CA
Address: 3 Cooper Plz, Camden, NJ
Address: 1230 S Cedar Crest Blvd Ste 306, Allentown, PA
Address: 1230 S Cedar Crest Blvd Ste 306, Allentown, PA
Address: 1207 S Queen St, York, PA
Address: Po Box 858, Hershey, PA
Address: 2280 Marcola Rd, Springfield, OR
Address: 41 University Dr Ste 106, Newtown, PA
Address: 1147 Independence Blvd, Virginia Beach, VA