Keidan, Richard David

Keidan, Richard David is an individual health care provider with primary practice located at 3577 W 13 Mile Rd Suite 401, Royal Oak MI 48073-6710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Keidan, Richard David can be contacted via phone (248) 551-2414.

Contact Information

Primary practice address
3577 W 13 Mile Rd Suite 401 Royal Oak MI 48073-6710
Fax: (248) 435-4566
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X RK045143 Michigan

Profile Details

NPI number 1982698031
LBN Legal business name Keidan, Richard David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Oct 22nd, 2020 - about 4 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 1982698031 NPPES
Other P75686 BCN
Other B8320 BCN
Other P00180696 BCN

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