Individual provider · Type 1 NPI
Kourosh Baghelai, MD
Vascular Surgery Physician · St. Joseph, MI
NPI number
1366434987
Active
Practice location
2500 Niles Rd Ste 6
St. Joseph, MI 49085-3268
Fax (269) 408-1665
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 4301084433 (MI) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
About NPI 1366434987
Kourosh Baghelai, MD's National Provider Identifier is 1366434987, issued on Aug 19, 2005. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in St. Joseph, MI. The record was last updated on Oct 15, 2012.