Ghalili, Kamran
Ghalili, Kamran is an individual health care provider with primary practice located at 610 Hawthorne Ave Se Ste 110 , Salem OR 97301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Ghalili, Kamran can be contacted via phone (503) 814-4440.Contact Information
Primary practice address
610 Hawthorne Ave Se Ste 110
Salem OR 97301
Phone: (503) 814-4440
Fax: (503) 814-4444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD26864 | Oregon |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD26864 | Oregon |
Profile Details
| NPI number | 1417977166 |
|---|---|
| LBN Legal business name | Ghalili, Kamran |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jul 11th, 2018 - about 6 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 | 1417977166 | NPPES |
| Oregon | MEDICAID | 28417 | |
| Oregon | Other | R152645 |
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