Masoud Ketabchi MD PA
Pathology, Anatomic Pathology & Clinical Pathology in North Miami Beach, FL. Organization (NPI-2).
NPI number1083663389
StatusActive
Last updated in NPPESJun 4, 2010
Details
- NPI
- 1083663389
- Entity type
- Organization (NPI-2)
- Legal business name
- Masoud Ketabchi MD PA
- Organization subpart
- No
- Enumeration date
- May 6, 2006
- Last updated
- Jun 4, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | – | – | Yes |
Practice location
160 Nw 170 StParkway Regional Medical Center
North Miami Beach, FL 33162
Phone 305-654-5037 · Fax 305-654-5237
Mailing address
Po Box 025483Miami, FL 33102
Phone 305-654-5037 · Fax 305-654-5237
Authorized official
Masoud Ketabchi
President
3056545037
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