NPI | 1124225057 |
---|---|
Former Legal Business Name | KAMRAN GOUDARZI, MD, PA |
Entity Type | Organization |
Authorized Contact | CYNTHIA JONES Credentialing 630-725-2737 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 207P00000X Emergency Medicine |
Enumeration Date | 2007-07-03 |
Last Update Date | 2022-03-16 |