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KASRAEIAN UROLOGY LLC NPI 1578727442


NPI Information

NPI: 1578727442
Provider Name: KASRAEIAN UROLOGY LLC

Former Legal Business Name: AHMAD KASRAEIAN MD

Classification: Urology - 208800000X
Entity Type: Organization
Address:
6269 BEACH BLVD
SUITE 2
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 727-7955
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KASRAEIAN UROLOGY LLC is an urology in Jacksonville, FL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. KASRAEIAN UROLOGY LLC NPI is 1578727442. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Ahmad Kasraeian Md.

The provider's business location address is:

6269 BEACH BLVD
SUITE 2
JACKSONVILLE, FL
ZIP 32216-768
Phone: (904) 727-7955
Fax: (904) 727-7976

The provider's authorized official is Ahmad Kasraeian .
The authorized official title is President and has the following contact phone number (904) 727-7955.

The enumeration date for this NPI number is 7/10/2008 and was last updated on 10/3/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
139658OTHERFLORIDABCBS OF FLORIDA GROUP

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: 4/28/2024

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