NPIMap

Organization Active NPI

Rouzbeh K Kordestani MD PA

  • Plastic Surgery Physician
  • Amarillo, TX
National Provider Identifier
1992749683
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
ROUZBEH K KORDESTANI MD PA
Practice address
3501 Soncy
St 137
Amarillo, TX 79119
Phone
(806) 322-5438
NPI assigned
Jun 15, 2006
Last updated
Jul 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Rouzbeh Khosrovi Kordestani, MD PANPI 1427039130
Title
Owner
Phone
(806) 322-5438

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

3501 Soncy
St 137
Amarillo, TX 79119

Mailing address

PO Box 32901
Amarillo, TX 79120-2901
Phone (806) 322-5438

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1992749683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32901",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791202901",
            "telephone_number": "806-322-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SONCY",
            "address_2": "ST 137",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79119",
            "telephone_number": "806-322-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUZBEH K KORDESTANI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "KORDESTANI",
        "authorized_official_first_name": "ROUZBEH",
        "authorized_official_middle_name": "KHOSROVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-322-5438",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.