Keramatian, Kasra
Keramatian, Kasra is an individual health care provider with primary practice located at 3801 S National Ave Ste 900 , Springfield MO 65807-5210. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Keramatian, Kasra can be contacted via phone (417) 875-3000.Contact Information
Primary practice address
3801 S National Ave Ste 900
Springfield MO 65807-5210
Phone: (417) 875-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2021047063 | Missouri |
Profile Details
| NPI number | 1346604683 |
|---|---|
| LBN Legal business name | Keramatian, Kasra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2016 |
| Last updated | Sep 14th, 2022 - about 3 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 | 1346604683 | NPPES |
| Missouri | MEDICAID | 200111914 |
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