Organization
BIJAN SOROURI M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAYVAN SOROURI (MANAGER)
(302) 453-9171
Entity
Organization
Contact information
Practice address
10 DARWIN DR, NEWARK, DE 19711-6658
(302) 453-9171
(302) 453-0732
Mailing address
10 DARWIN DR, NEWARK, DE 19711-6658
(302) 453-9171
(302) 453-0732
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C1-0003167
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000059001
—
DE
Enumeration date
01/26/2011
Last updated
01/26/2011
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