SOROUSH ERSHADIFAR
Individual Provider (NPI-1)
Active
Otolaryngology
Provider Information
- NPI Number
1184327603- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3901 RAINBOW BLVD # MS 3010, KANSAS CITY, KS, 661602200
- Phone
- (925) 800-9541
Specialties & Taxonomies
Otolaryngology
Primary License: KS #94-12425
All Addresses
MAILING
4610 X ST
SACRAMENTO, CA, 958172200