De Silva, Keerthi R
De Silva, Keerthi R is an sole proprietor health care provider with primary practice located at 1141 W Redondo Beach Blvd Suite 107, Gardena CA 90247-3586. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. De Silva, Keerthi R can be contacted via phone (310) 515-0677.Contact Information
Primary practice address
1141 W Redondo Beach Blvd Suite 107
Gardena CA 90247-3586
Phone: (310) 515-0677
Fax: (310) 515-5033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A30035 | California |
Profile Details
| NPI number | 1457359291 |
|---|---|
| LBN Legal business name | De Silva, Keerthi R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Mar 28th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457359291 | NPPES |
| California | MEDICAID | 00A300350 |
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