Mr Alireza Mansoorirad, LAC is a
Acupuncturist based in Fruita, Colorado. Mr Alireza Mansoorirad is licensed to practice in Colorado (license number 1088) and his current practice location is
123 E. Aspen, Fruita, Colorado. He can be reached at his office (for appointments etc.) via phone at
(970) 858-6635.
NPI number for Mr Alireza Mansoorirad is 1417195348 and his current mailing address is 324 N Maple St, Fruita, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417195348.
Healthcare Provider's Profile
| Full Name | Mr Alireza Mansoorirad |
|---|
| Gender | Male |
|---|
| Speciality | Acupuncturist |
|---|
| Location | 123 E. Aspen, Fruita, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417195348
- Provider Enumeration Date: 01/30/2009
- Last Update Date: 01/30/2009
Medical Identifiers
Medical identifiers for Mr Alireza Mansoorirad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417195348 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 1088 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Alireza Mansoorirad is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Alireza Mansoorirad, LAC
324 N Maple St,
Fruita, CO 81521-2321
Ph: (970) 858-6635 | Mr Alireza Mansoorirad, LAC
123 E. Aspen,
Fruita, CO 81521-2321
Ph: (970) 858-6635 |
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