DR. ATOOSA KOUROSH MD NPI 1053401661

NPI Information

  • NPI: 1053401661
  • Provider Name: DR. ATOOSA KOUROSH, MD
  • Classification: Pediatrics - 2080P0201X
  • Specialization: Pediatric Allergy/Immunology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1170 N CARROLL AVE
    SOUTHLAKE, TX
    ZIP 76092
  • Phone: (214) 702-6550

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NPI Details

DR. Atoosa Kourosh, MD is a pediatric allergy/immunology pediatrics in Southlake, TX. The provider is a pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. DR. Atoosa Kourosh, MD NPI is 1053401661. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1170 N CARROLL AVE
SOUTHLAKE, TX
ZIP 76092-306
Phone: (214) 702-6550
Fax: (214) 894-4182

The NPI 1053401661 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 11/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsMD00044424WASHINGTONNo
22080P0201XPediatricsPediatric Allergy/ImmunologyMD00044424WASHINGTONYes
3207K00000XAllergy & ImmunologyMD00044424WASHINGTONNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P01733874OTHERWASHINGTONRR MEDICARE WVH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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