Jahadi, Kambiz

Jahadi, Kambiz is an sole proprietor health care provider with primary practice located at 1402 Chisholm Trl Ste C , Round Rock TX 78681-2903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Jahadi, Kambiz can be contacted via phone (512) 248-9090.

Contact Information

Primary practice address
1402 Chisholm Trl Ste C Round Rock TX 78681-2903
Phone: (512) 248-9090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X K6019 Texas

Profile Details

NPI number 1407947021
LBN Legal business name Jahadi, Kambiz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407947021 NPPES
Texas Other 00391G BCBS IDENTIFIER
Texas MEDICAID 030205101 BCBS IDENTIFIER

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