Kaveh, Kianoosh

Kaveh, Kianoosh is an individual health care provider with primary practice located at 3221 Tamiami Trl , Port Charlotte FL 33952-8002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Kaveh, Kianoosh can be contacted via phone (941) 505-8720.

Contact Information

Primary practice address
3221 Tamiami Trl Port Charlotte FL 33952-8002
Fax: (941) 505-8747
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X OS8229 Florida

Profile Details

NPI number 1174524219
LBN Legal business name Kaveh, Kianoosh
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Apr 29th, 2010 - about 14 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 1174524219 NPPES
Other 001457915 BCBS HIGHMARK
Other 651117748T BCBS HIGHMARK
Other 2985402 BCBS HIGHMARK
Other 7405063 BCBS HIGHMARK
Other 0232474 BCBS HIGHMARK
Other 2142967000 BCBS HIGHMARK
Other 47881 BCBS HIGHMARK
MEDICAID N279248 BCBS HIGHMARK
MEDICAID 265580200 BCBS HIGHMARK
Other 471501 BCBS HIGHMARK
Other KKA150339 BCBS HIGHMARK
Other 651256 BCBS HIGHMARK
Other 0000ZCY746 BCBS HIGHMARK
Other 7039169 BCBS HIGHMARK
Other 2142967000 BCBS HIGHMARK
Other 30030181 BCBS HIGHMARK

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