Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 21406 | MS |
N | 208600000X | Surgeon | 21406 | MS |
N | 208200000X | Surgeon | MD200014 | LA |
N | 208600000X | Surgeon | MD200014 | LA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 21406 | MS |
NPI | 1003006602 |
---|---|
Provider Name | Dr. Hossein Nasajpour |
First Address | Laurel, MS 39441-0247 |
Second Address | Laurel, MS 39440-4243 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2007 |
Last Update Date | 11/08/2020 |