Rouzbeh K Kordestani MD PA

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

Organization subpart

No

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

Authorized official

Name

Rouzbeh Khosrovi Kordestani, MD PA

Title

Owner

Phone

(806) 322-5438

Specialties & licenses 1

Addresses

Other identifiers 1

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172198701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reva Jo Roselius, LPC
• Starla Elaine Ross, OTR
• Theresa Joyce Ross, RN, MSN FNP-BC
• Amber Leigh Roth, APRN
• J Latayne Rothman, FNP
• Anjali Rani Roy, MD
• Cheryl Kay Roy, REGISTERED NURSE
• Royal Community Services, LLC
• Royalty Home Health Care Services
• Ignatius Rozario, LPC

• Plastic Surgery Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Plastic Surgery Physician in Texas

• 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.