Case File
efta-efta00306965DOJ Data Set 9OtherKamran Fallahpour, PhD
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta00306965
Pages
2
Persons
0
Integrity
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Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
Kamran Fallahpour, PhD
263 Westend Ave Suite 1D
New York, NY 10023
Bill To:
Bill For:
Bffias of:
Apr 10. 2014
Date
Transaction
CPT Cade
Diagnosis
Total Owed
4/9/2014
90792
$3.500.00
4/9/2014
Payment-,
(53.500.00)
$0.00
Please Pay this Amount:
$0.00
Charges for services to be rendered. please pay balance before neurological testing appointment.
Kamran Fallahpour, PhD
License Number: 015910
Tax Id: 412054025
NPI: 1346320660
EFTA00306965
Kamran Fallahpour, PhD
263 Westend Ave Suite 1D
New York, NY 10023
(212)877-2130
Bill To:
Maria Ididzkowska
Bi
Apr 10. 2014
Bill For:
Maria Idicincowska
Date
Transaction
CPT Cade
Diagnosis
Total Owed
Kamran Fallahpour, PhD
License Number: 015910
Tax Id: 412054025
NPI: 1346320660
EFTA00306966
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Phone
(212)877-2130Phone
12054025Phone
6320660Forum Discussions
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