EFTA00602690.pdf
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Extracted Text (OCR)
Kamran Fallahpour, PhD
263 Westend Ave Suite 1D
New York, NY 10023
Bill To:
Bill For:
Bill as of:
Date
Apr 10.2014
Transaction
CPT Code
Diagnosis
Total Owed
4/912014
Clinical Intake/ Psychiatric Evalualit
90792
$3,500.00
4/912014
Payment --
(53.50B00)
$0.00
Please Pay this Amount:
$0.00
Charges for services to be rendered. please pay balance before neurological testing appointment.
Tax ID
Kamran Fallahpour, PhD
License Number: 015910
Tax Id:M5
NPI: I
EFTA00602690
Kamran Fallahpour, PhD
263 Westend Ave Suite 1D
New York, NY 10023
(212)877-2130
Bill To:
Bill For:
Bill as of:
Apr 10. 2014
Date
Transaction
CPT Code
Diagnosis
Total Owed
Kamran Fallahpour, PhD
License Number: 015910
Tax
NPI:
EFTA00602691
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Phone Numbers
Document Details
| Filename | EFTA00602690.pdf |
| File Size | 33.5 KB |
| OCR Confidence | 85.0% |
| Has Readable Text | Yes |
| Text Length | 752 characters |
| Indexed | 2026-02-11T22:59:04.309373 |