Individual
DR. KAMRAN GOUDARZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 MILITARY CUTOFF RD STE 130, WILMINGTON, NC 28405-2382
(910) 769-3084
(910) 769-6023
Mailing address
710 MILITARY CUTOFF RD STE 130, WILMINGTON, NC 28405-2382
(910) 769-3084
(910) 769-6023
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25503
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8936503
—
NC
Enumeration date
03/22/2006
Last updated
05/13/2020
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