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Individual
DR. MOHAMMAD KOOSHKABADI
Active
Individual
DR. MOHAMMAD KOOSHKABADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
058053
GA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
058053
GA
207RC0001X
Clinical Cardiac Electrophysiology Physician
58053
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
616446282F
—
GA
05
—
616446282V
—
GA
Enumeration date
12/20/2007
Last updated
10/11/2019
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