SEYED-HASSAN NAZIRPOUR-CALOOR CFNP LLC NPI 1699877704

NPI Information

NPI: 1699877704
Provider Name: SEYED-HASSAN NAZIRPOUR-CALOOR CFNP LLC

Other Name: CALOOR'S FAMILY MEDICAL PRACTICE

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
612 W 8TH
ROSWELL, NM
ZIP 88201
Phone: (575) 623-6161
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SEYED-HASSAN NAZIRPOUR-CALOOR CFNP LLC is a family nurse practitioner in Roswell, NM. SEYED-HASSAN NAZIRPOUR-CALOOR CFNP LLC NPI is 1699877704. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Caloor's Family Medical Practice.

The provider's business location address is:

612 W 8TH
ROSWELL, NM
ZIP 88201
Phone: (575) 623-6161
Fax: (575) 623-6464

The provider's authorized official is Seyed-hassan Nazirpour-caloor .
The authorized official title is Owner/administrator and has the following contact phone number (575) 623-6161.

The CLIA number assigned to this NPI record is 32D1083549 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 5/14/2019.

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
1	363LF0000X	Nurse Practitioner	Family	R32057	NEW MEXICO	Yes

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
1	47987359	MEDICAID	NEW MEXICO

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: 11/14/2023

NPI Synchronization or Removal

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