NPI 1144734492 · live from the CMS NPI Registry
Kuroush Aligholizadeh, CRNP
Nurse Practitioner, Family in Mount Airy, MD. National Provider Identifier 1144734492, active.
NPI record
| NPI | 1144734492 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 2702 Back Acre Cir, Mount Airy, MD 21771 |
| Practice phone | 410-245-0921 |
| Mailing address | 11800 Berans Rd, Lutherville Timonium, MD 21093 |
| Enumerated | November 23, 2017 |
| Last updated | December 28, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | R172732 (MD) |
| Nurse Practitioner, Family primary | 363LF0000X | R172732 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.