Organization
VEIN SPECIALISTS OF NORTH CAROLINA, PA
Active
Other names
Kamran Goudarzi, MD, PA
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA JONES (CREDENTIALING)
(630) 725-2737
Entity
Organization
Contact information
Practice address
6752 ROCK SPRING ROAD, SUITE #200, WILMINGTON, NC 28405
(910) 798-5347
(910) 763-6570
Mailing address
2015 SPRING RD STE 300, OAK BROOK, IL 60523-3944
(630) 725-2700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC3861
RAILROAD MEDICARE PIN
NC
Enumeration date
07/03/2007
Last updated
03/16/2022
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