Atoosa Kourosh in Southlake - Pediatric Allergy/immunology
Atoosa Kourosh - NPI 1053401661
Atoosa Kourosh is a Pediatric Allergy/immunology in Southlake, Texas. Atoosa Kourosh practices all healthcare services and medical treatments related to Pediatric Allergy/immunology. The NPI Number for Atoosa Kourosh is 1053401661. The last update date is 2022-11-17.
Atoosa Kourosh's current location address is 1170 N Carroll Ave, Southlake, Texas. You can contact this provider via phone number 2147026550 and fax number 2148944182. The mailing address for Atoosa Kourosh is 1170 N Carroll Ave, Southlake, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Atoosa Kourosh |
|---|---|
| Address | 1170 N Carroll Ave, Southlake, Texas |
| Phone Number | 2147026550 |
| Fax Number | 2148944182 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1053401661 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2022-11-17 |
Provider Mailing Address Detail
| Address | 1170 N Carroll Ave |
|---|---|
| City | Southlake |
| State | Texas (TX) |
| Post Code | 760925306 |
| Phone Number | 2147026550 |
| Fax Number | 2148944182 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Allergy/immunology |
|---|---|
| Taxonomy | 2080P0201X |
| Licence No | MD00044424 |
|
Definition: A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01733874 | WA | RR MEDICARE WVH |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Atoosa Kourosh by the Centers for Medicare & Medicaid Services?
The Atoosa Kourosh has been issued the NPI (National Provider Identifier) 1053401661, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Atoosa Kourosh is physically located?
The Atoosa Kourosh is physically situated at the following address: 1170 N Carroll Ave, Southlake, TX, 760925306.
What is Atoosa Kourosh's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Atoosa Kourosh is Pediatric Allergy/immunology, and the corresponding taxonomy classification code for this specialized field is 2080P0201X.
On what date did the Atoosa Kourosh receive the assignment of its 1053401661 from the Centers for Medicare & Medicaid Services?
The Atoosa Kourosh was issued its 1053401661 by the Centers for Medicare & Medicaid Services on 2006-10-13.
As of what date were the details pertaining to Atoosa Kourosh last refreshed?
The information related to the Atoosa Kourosh, including its address, specialty, and other relevant details, was last updated on 2022-11-17.
NPI Number: 1134122146
Address: P. O. Box 31911, Tampa, FL
NPI Number: 1629071758
Address: 1600 Prairie Center Pkwy, Brighton, CO