Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | DO1445 | NV |
Y | 207XS0106X | Orthopaedic Hand Surgeon | M7331 | TX |
N | 208200000X | Surgeon | 219738 | NY |
N | 208600000X | Surgeon | 219738 | NY |
N | 208200000X | Surgeon | OS9504 | FL |
N | 208600000X | Surgeon | OS9504 | FL |
N | 2086S0105X | Surgery of the Hand | 4587 | AZ |
NPI | 1023051307 |
---|---|
Provider Name | Dr. Mark Darius Khorsandi |
First Address | Houston, TX 77019-4019 |
Second Address | Houston, TX 77019-2013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 16/11/2021 |