Kesiry, Riad
Kesiry, Riad is an individual health care provider with primary practice located at 1004 Heron Dr W , Colleyville TX 76034-1300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kesiry, Riad can be contacted via phone (419) 290-2815.Contact Information
Primary practice address
1004 Heron Dr W
Colleyville TX 76034-1300
Phone: (419) 290-2815
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00047771 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | P3740 | Texas |
Profile Details
| NPI number | 1891913679 |
|---|---|
| LBN Legal business name | Kesiry, Riad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1891913679 | NPPES |
| Texas | MEDICAID | 307149004 |
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