Individual
MR. KUROUSH ALIGHOLIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
2702 BACK ACRE CIR, MOUNT AIRY, MD 21771-7769
(410) 245-0921
Mailing address
11800 BERANS RD, LUTHERVILLE TIMONIUM, MD 21093-1501
(410) 825-2529
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R172732
MD
363LF0000X
Family Nurse Practitioner
Primary
R172732
MD
Other
Enumeration date
11/23/2017
Last updated
12/28/2017
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