Bijan Sorouri M.D. P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

C1-0003167 Issued in DE

Legal business name

BIJAN SOROURI M.D. P.A.

Practice address

10 Darwin Dr
Newark, DE 19711-6658

Phone

(302) 453-9171

Fax

(302) 453-0732

NPI assigned

Jan 26, 2011

Last updated

Jan 26, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kayvan Sorouri

Title

Manager

Phone

(302) 453-9171

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Josefina Luisa Cancino, MD

  • Family Medicine Physician
  • Middletown, DE
  • NPI 1154404143
  Medicare reassignment Care Compare group NPD
• Bijan Sorouri, M.D.

  • Specialist
  • Newark, DE
  • NPI 1114016615
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1063717874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DARWIN DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197116658",
            "telephone_number": "302-453-9171",
            "fax_number": "302-453-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DARWIN DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197116658",
            "telephone_number": "302-453-9171",
            "fax_number": "302-453-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIJAN SOROURI M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "SOROURI",
        "authorized_official_first_name": "KAYVAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "302-453-9171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DE",
            "license": "C1-0003167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000059001",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Biddle
• Christopher Douglas Biedrzycki
• Margaret Noel Bielic, PA-C
• Christina France Bien-Aime
• Big Picture Psychiatry LLC
• Cynthia Ann Bill, LCSW, CRADC, CCTPII
• Beth Ann Bilski, DO
• William Francis Bilski, D. O.
• Lyndsay Michelle Bingnear, MSN, APRN, NP-C
• Sara Binkley

• Specialist in Newark, DE
• Providers in Newark, DE by specialty
• Specialist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.