person
Kourosh Mehrazar, MD
Student in an Organized Health Care Education/Training Program in Orange Park, Florida
NPI 1972168219

Kourosh Mehrazar is a Student in an Organized Health Care Education/Training Program based in Orange Park, FL. Kourosh Mehrazar practices in Orange Park, FL and has the professional credentials of MD. The NPI Number for Kourosh Mehrazar is 1972168219 and holds a License No. (Florida).

The current practice location address for Kourosh Mehrazar is 2001 Kingsley Ave, Orange Park, FL and can be reached out via phone at 904-639-8044.

Location: 2001 Kingsley Ave, Orange Park, FL, 32073-5156
person
Provider Profile Details
NPI Number
1972168219
Provider Name
Kourosh Mehrazar
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2001 Kingsley Ave, Orange Park, FL, 32073-5156
Phone Number
904-639-8044
Fax Number
Provider Enumeration Date
05/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2001 Kingsley Ave
City
State
Zip
32073-5148
Phone Number
904-639-8044
Fax Number
person
Provider Business Mailing Address Details
Address
2001 Kingsley Ave
City
State
Zip
32073-5148
Phone Number
904-639-8044
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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