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Individual

DR. DAVID SOROUSH GOROVOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
676 N SAINT CLAIR ST STE 800, CHICAGO, IL 60611-2978
(312) 695-3696
(312) 695-5645
Mailing address
676 N SAINT CLAIR ST STE 800, CHICAGO, IL 60611-2978
(312) 695-3696
(312) 695-5645

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036148302
IL
2085R0202X
Diagnostic Radiology Physician
Primary
24489
NV
2085R0202X
Diagnostic Radiology Physician
294686
NY
2085R0202X
Diagnostic Radiology Physician
50683
TX
2085R0202X
Diagnostic Radiology Physician
54609
KY
2085R0202X
Diagnostic Radiology Physician
66394
CT
2085R0202X
Diagnostic Radiology Physician
ME151627
FL

Other

Enumeration date
04/04/2013
Last updated
09/10/2024
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