SOUROUSH MOHAMMED NIKNAHAD

LOUISVILLE, KY
NPI1164296331
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  1149312)
Enumeration Date2023-11-08
Last Update Date2024-03-11
Business Address
SOUROUSH MOHAMMED NIKNAHAD SRNA
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202-2877
Phone number: 502-587-4404
Mailing Address
SOUROUSH MOHAMMED NIKNAHAD SRNA
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone number: 502-588-0328
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