Active NPIIndividual provider

Khosrow Rastgar, MD

Pathology, Anatomic Pathology & Clinical Pathology in Atlantic City, New Jersey

NPI Number1881694909
Practice location
1925 Pacific Ave, Atlantic City, NJ 08401-6713
Fax
609-441-2107
Last updated
June 16, 2010

Khosrow Rastgar is a Pathology, Anatomic Pathology & Clinical Pathology based in Atlantic City, NJ. Khosrow Rastgar practices in Atlantic City, NJ and has the professional credentials of MD. The NPI Number for Khosrow Rastgar is 1881694909 and holds a License No. 25MA03458300 (NJ). The current practice location address for Khosrow Rastgar is 1925 Pacific Ave, Atlantic City, NJ 08401-6713 and can be reached out via phone at 609-441-2147 and via fax at 609-441-2107.

Provider Profile Details

NPI Number
1881694909
Provider Name
Khosrow Rastgar
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1925 Pacific Ave, Atlantic City, NJ 08401-6713
Phone Number
609-441-2147
Fax Number
609-441-2107
Sole Proprietor
No
Provider Enumeration Date
July 29, 2005
Last Update Date
June 16, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
1925 Pacific Ave
Atlantic City, NJ 08401-6713
Zip
08401-6713
Phone Number
609-441-2147
Fax Number
609-441-2107
Atlantic City, NJ 08401Get directions →

Provider Business Mailing Address Details

Address
Po Box 95000-2705
Philadelphia, PA 19195-2705
City
Philadelphia
State
PA
Zip
19195-2705
Phone Number
609-441-2147
Fax Number
609-441-2107

License Information

License Number
25MA03458300
License State
NJ

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Khosrow Rastgar, MD?

The NPI number of Khosrow Rastgar, MD is 1881694909. It was assigned on July 29, 2005 and is currently active in the NPPES registry.

What is the specialty of Khosrow Rastgar, MD?

Khosrow Rastgar, MD is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X), licensed in NJ under license number 25MA03458300.

Where does Khosrow Rastgar, MD practice?

The practice location is 1925 Pacific Ave, Atlantic City, NJ 08401-6713. The office can be reached at 609-441-2147 (phone) or 609-441-2107 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881694909 directly on the NPPES registry website.

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