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NPI Code Detail

MEDICARE: SEREEN KHOURSHID

MEDICARE: SEREEN KHOURSHID
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1063215267
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEREEN KHOURSHID
Provider Business Mailing Address
First Line : 400 LEE ST N
Second Line :
City : LEWISBURG
State : WV
Zip : 24901-1274
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 400 LEE ST N
Second Line :
City : LEWISBURG
State : WV
Zip : 24901-1274
Country : US
Telephone Number : 561-213-8556
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2025
Last Update Date : 03/31/2025

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Directions to “ SEREEN KHOURSHID ” Practice Location

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