Ehsanipoor, Kaveh

Ehsanipoor, Kaveh is an individual health care provider with primary practice located at 4750 Waters Ave Ste 452 , Savannah GA 31404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Ehsanipoor, Kaveh can be contacted via phone (912) 350-5909.

Contact Information

Primary practice address
4750 Waters Ave Ste 452 Savannah GA 31404
Phone: (912) 350-5909
Fax: (912) 350-5914
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 020309 Georgia

Profile Details

NPI number 1821037706
LBN Legal business name Ehsanipoor, Kaveh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Aug 9th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821037706 NPPES
Georgia MEDICAID 000175458B
Georgia Other 349755
Georgia MEDICAID G20309
Georgia Other 10064418
Georgia Other 460003037
Georgia MEDICAID 000175458C

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