Mr Kuroush Aligholizadeh, CRNP | |
2702 Back Acre Cir, Mount Airy, MD 21771-7769 | |
(410) 245-0921 | |
Not Available |
Full Name | Mr Kuroush Aligholizadeh |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 2702 Back Acre Cir, Mount Airy, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144734492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R172732 (Maryland) | Secondary |
363LF0000X | Nurse Practitioner - Family | R172732 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bayada Home Health, Inc | Towson, MD | Home health agency |
Gilchrist Hospice Care | Hunt valley, MD | Hospice |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mdics Rehabilitative Services Llc | 4981861903 | 28 |
Genesis Eldercare Physician Services Llc | 9830002534 | 38 |
Optimize Medical Group | 0446512040 | 30 |
Gps Physician Group, Pc | 9739447400 | 79 |
Genesis Eldercare Physician Services Llc | 9830002534 | 38 |
Entity Name | Genesis Eldercare Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881635183 PECOS PAC ID: 9830002534 Enrollment ID: O20050124000329 |
Entity Name | Mdics Rehabilitative Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124313309 PECOS PAC ID: 4981861903 Enrollment ID: O20120206000334 |
Entity Name | Gps Physician Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180117001189 |
Entity Name | Optimize Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952818999 PECOS PAC ID: 0446512040 Enrollment ID: O20180320000084 |
Mailing Address | Practice Location Address |
---|---|
Mr Kuroush Aligholizadeh, CRNP 11800 Berans Rd, Lutherville Timonium, MD 21093-1501 Ph: () - | Mr Kuroush Aligholizadeh, CRNP 2702 Back Acre Cir, Mount Airy, MD 21771-7769 Ph: (410) 245-0921 |