Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | D85765 | MD |
N | 208600000X | Surgeon | D85765 | MD |
Y | 208200000X | Surgeon | ME147617 | FL |
Y | 208600000X | Surgeon | ME147617 | FL |
N | 2086X0206X | Surgical Oncologist | 0101245830 | VA |
N | 2086X0206X | Surgical Oncologist | D85765 | MD |
N | 2086X0206X | Surgical Oncologist | ME147617 | FL |
NPI | 1164691747 |
---|---|
Provider Name | Dr. Negar Golesorkhi |
First Address | Venice, FL 34285-5565 |
Second Address | Venice, FL 34285-5565 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2008 |
Last Update Date | 03/02/2021 |