Individual
SOROUSH ERSHADIFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3901 RAINBOW BLVD # MS 3010, KANSAS CITY, KS 66160-2200
(925) 800-9541
Mailing address
4610 X ST, SACRAMENTO, CA 95817-2200
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
94-12425
KS
Other
Enumeration date
03/23/2023
Last updated
06/22/2025
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