Ghazal Ghassemi
Prosthodontist
571 Burroughs St Apt 2206
Morgantown
, West Virginia 26505-3354
Ghazal Ghassemi
Prosthodontist
571 Burroughs St Apt 2206
Morgantown
, West Virginia 26505-3354
(415) 619-8436
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Ghazal Ghassemi
- 571 Burroughs St Apt 2206
- Morgantown, WV
- Zip : 26505-3354
- Phone : (415) 619-8436
Second Address
- Ghazal Ghassemi
- 571 Burroughs St Apt 2206
- Morgantown, WV
- Zip : 26505-3354
- Phone : (415) 619-8436
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | IP2001 | WV |
National Provider Identifier
| NPI | 1134715261 |
|---|---|
| Provider Name | Ghazal Ghassemi |
| First Address | Morgantown, WV 26505-3354 |
| Second Address | Morgantown, WV 26505-3354 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/12/2020 |
| Last Update Date | 13/12/2020 |
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.