Organization
MARIANAS EYE INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOOROSH DAVID KHORRAM M.D. (PRESIDENT)
(670) 235-9090
Entity
Organization
Contact information
Practice address
503900 MOOTY, 13 FISHERMEN BEACHROAD, GARAPAN, SAIPAN, MP 96950-3900
(670) 235-9090
(670) 235-9091
Mailing address
PO BOX 503900, SAIPAN, MP 96950-3900
(670) 235-9090
(670) 235-9091
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0015
MP
207W00000X
Ophthalmology Physician
Primary
0102
MP
Other
Enumeration date
01/11/2007
Last updated
07/11/2019
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