Individual
KOUROSH C GHALILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3070 BRISTOL PIKE STE 2-106, BENSALEM, PA 19020-5357
(215) 447-8612
(267) 522-8209
Mailing address
3070 BRISTOL PIKE STE 2-106, BENSALEM, PA 19020-5357
(215) 447-8612
(267) 522-8209
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD429774
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018398010001
—
PA
05
—
1018398010002
—
PA
Enumeration date
08/31/2005
Last updated
12/26/2018
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