Dr. Atoosa Kourosh
MD | Pediatric Allergy-Immunology | Female
Dr. Atoosa Kourosh, MD is a Southlake, Texas based Pediatric doctor with medical specialization in
Pediatric Allergy-Immunology.
Current practice location of Dr. Atoosa Kourosh is
1170 N Carroll Ave, Southlake, Texas - 76092-5306. She can be contacted on phone at
214-702-6550 and fax number 214-894-4182.
Dr. Atoosa Kourosh is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Atoosa Kourosh is
1053401661 which was assigned by NPPES on 13 Oct, 2006 and it was last updated on 17 Nov, 2022.
Dr. Atoosa Kourosh license number is
MD00044424 for Pediatrics, Pediatric Allergy/Immunology (2080P0201X) in Washington.
Dr. Atoosa Kourosh specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Complete Profile:
Dr. Atoosa Kourosh basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Allergy/Immunology |
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| Provider Name : | Dr. Atoosa Kourosh |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Atoosa Kourosh address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1170 N Carroll Ave
Southlake, TX, 76092-5306
United States |
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| Phone Number : | 214-702-6550 |
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| Fax Number : | 214-894-4182 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1053401661 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Oct, 2006 |
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| Last Updated On : | 17 Nov, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Atoosa Kourosh are as mentioned. Primary taxonomy code for Dr. Atoosa Kourosh, MD is
2080P0201X (Pediatrics, Pediatric Allergy/Immunology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD00044424 | WA |
| 2080P0201X | Pediatrics, Pediatric Allergy/Immunology | Yes | MD00044424 | WA |
| 207K00000X | Allergy & Immunology | No | MD00044424 | WA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Atoosa Kourosh such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| G8958845, G8958846 | MEDICARE PIN | WA | |
| P01733874 | Other (non-Medicare) | WA | RR MEDICARE WVH |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
5600 14TH AVE NW,
SEATTLE, WA, 98107-3723
United States | SEATTLE, WA | 206-919-0175 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
CONNECT
(CONNECT URL) | Portal
Cerbo | No affiliation | DIRECT
Direct
| CSV
CSV
| 4426 Burke Ave N,
Seattle, WA, 98103-7536
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1170 N Carroll Ave
Southlake, TX, 76092-5306
United States |
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| Phone Number : | 214-702-6550 |
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| Fax Number : | 214-894-4182 |
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Business Location:
Patients can refer following map for directions to
Dr. Atoosa Kourosh practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.