Keenan, Robert James
Keenan, Robert James is an individual health care provider with primary practice located at 12902 Usf Magnolia Dr Moffitt Cancer Center, Tampa FL 33612-9416. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Keenan, Robert James can be contacted via phone (813) 745-6080.Contact Information
Primary practice address
12902 Usf Magnolia Dr Moffitt Cancer Center
Tampa FL 33612-9416
Phone: (813) 745-6080
Fax: (813) 449-8788
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD044187E | Pennsylvania |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD044187E | Pennsylvania |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | ME 123918 | Florida |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME 123918 | Florida |
Profile Details
NPI number | 1932100906 |
---|---|
LBN Legal business name | Keenan, Robert James |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 2nd, 2005 |
Last updated | Apr 24th, 2015 - about 9 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 | 1932100906 | NPPES |
Ohio | MEDICAID | 0962472 | |
Ohio | MEDICAID | 125606000 | |
Ohio | MEDICAID | 0012900680007 |
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