Individual provider · Type 1 NPI

Kourosh Eshafi, MD

Student in an Organized Health Care Education/Training Program · Norfolk, VA

NPI number 1053540369 Active

Practice location

825 Fairfax Ave., Evms Ghent Family Medicine
Norfolk, VA 23507

Call (757) 446-5738 Map

Fax (757) 446-8450

Mailing address

825 Fairfax, Evms Ghent Family Medicine
Norfolk, VI 23507

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X0116021212 (VA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053540369

Kourosh Eshafi, MD's National Provider Identifier is 1053540369, issued on Jul 8, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Norfolk, VA. The record was last updated on Jul 8, 2009.