Khosro Adib is a Vascular Surgery in Madison, Wisconsin. Khosro Adib practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Khosro Adib is 1932163581. The last update date is 2013-02-07.
Khosro Adib's current location address is 202 So Park St, Madison, Wisconsin. You can contact this provider via phone number 6084176259. The mailing address for Khosro Adib is 202 So Park St, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Khosro Adib |
|---|---|
| Address | 202 So Park St, Madison, Wisconsin |
| Phone Number | 6084176259 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1932163581 |
|---|---|
| Provider Enumeration Date | 2006-04-12 |
| Last Updated Date | 2013-02-07 |
Provider Mailing Address Detail
| Address | 202 So Park St |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 53715 |
| Phone Number | 6084176259 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 21961 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30266200 | WI | -- |
Post Comment/ Review Below
What is the Khosro Adib's 1932163581?
The Khosro Adib's NPI (National Provider Identifier) Number is 1932163581. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Khosro Adib's facilities are geographically located?
The facilities of Khosro Adib are physically situated at the following location: 202 So Park St, Madison, WI, 53715.
What is the area of specialization for Khosro Adib, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Khosro Adib is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0129X.
On what date did Khosro Adib receive its 1932163581 assignment from the Centers for Medicare & Medicaid Services?
The Khosro Adib was assigned its 1932163581 on 2006-04-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Khosro Adib's details last updated?
The information pertaining to the Khosro Adib, including its address, specialty, and other details, was most recently updated on 2013-02-07.