Keshavarz, Reza

Keshavarz, Reza is an individual health care provider with primary practice located at 1879 Madison Ave , New York NY 10035-2709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Keshavarz, Reza can be contacted via phone (212) 423-4069.

Contact Information

Primary practice address
1879 Madison Ave New York NY 10035-2709
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 193157 New York
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 193157 New York

Profile Details

NPI number 1790877876
LBN Legal business name Keshavarz, Reza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790877876 NPPES
New York MEDICAID 01596496

Popular Providers