Individual
SASHA FARSHID KHOSRAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
411 LAUREL ST, SUITE 3310, DES MOINES, IA 50314-3017
(515) 643-6290
(515) 643-6291
Mailing address
PO BOX 4925, DES MOINES, IA 50305-4925
(515) 643-6290
(515) 643-6291
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2004007607
MO
2084P0800X
Psychiatry Physician
3675
IA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
3675
IA
Other
Enumeration date
04/04/2006
Last updated
07/24/2012
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