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Individual
DR. KOUROSH KHAMOOSHIAN
Active
Individual
DR. KOUROSH KHAMOOSHIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A110901
CA
208M00000X
Hospitalist Physician
A110901
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DJ1227
PTAN
CA
01
—
W14158
PTAN
CA
Enumeration date
10/17/2008
Last updated
07/01/2025
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