Doctor Name: | DR. HOOSHANG KHOSHNEVIS-YAZDI |
NPI Number: | 1043330103 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 44509 |
Business Practice Address: | 36000 Darnall Loop Department Of Radiology Fort Hood, TX - 765445095 |
Business Phone Number: | 2542867790 |
Business Fax Number: | 2542867795 |
Mailing Address: | 1410 Linda Ln, COPPERAS COVE |
State: | TX |
Postal Code: | 765221239 |
Phone Number: | 2545471702 |
Fax Number: | |
NPI Enumeration Date: | 03/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171W00000X |
License Number: | 44509 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |