Dr. Koorosh Moezardalan
Gastroenterologist
1600 Sw Archer Rd
Gainesville
, Florida 32610-3003
Dr. Koorosh Moezardalan
Gastroenterologist
1600 Sw Archer Rd
Gainesville
, Florida 32610-3003
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. Koorosh Moezardalan
- Po Box 918025
- Orlando, FL
- Zip : 32891-8025
- Phone :
Second Address
- Dr. Koorosh Moezardalan
- 1600 Sw Archer Rd
- Gainesville, FL
- Zip : 32610-3003
- Phone : (352) 273-6889
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | ME109321 | FL |
National Provider Identifier
| NPI | 1043498900 |
|---|---|
| Provider Name | Dr. Koorosh Moezardalan |
| First Address | Orlando, FL 32891-8025 |
| Second Address | Gainesville, FL 32610-3003 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/02/2008 |
| Last Update Date | 15/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.