Individual
KUROSH A. SAFAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 BELLE CHASSE HIGHWAY, GRETNA, LA 70056
(504) 391-5177
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
38008
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
MD199928
LA
390200000X
Student in an Organized Health Care Education/Training Program
199928
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1058629
—
LA
05
—
350275
—
AZ
01
—
P00625182
RAILROAD MEDICARE
AZ
Enumeration date
08/05/2007
Last updated
03/03/2010
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