Individual
HOUMAN H KHOSROVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
407 MAIN ST STE 2, BELPRE, OH 45714-1615
(304) 865-3600
Mailing address
1212 GARFIELD AVE, SUITE 300, PARKERSBURG, WV 26101-3207
(304) 865-3600
(304) 865-3700
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35.076601
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089271000
—
WV
05
—
2146476
—
OH
Enumeration date
03/02/2006
Last updated
05/03/2024
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