Khairkhah, Nazanine
Khairkhah, Nazanine is an individual health care provider with primary practice located at 49 Lake Ave Ste 1B , Greenwich CT 06830-4501. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Khairkhah, Nazanine can be contacted via phone (203) 869-2304.Contact Information
Primary practice address
49 Lake Ave Ste 1B
Greenwich CT 06830-4501
Phone: (203) 869-2304
Fax: (203) 869-2304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 232715 | New York |
Profile Details
| NPI number | 1518937622 |
|---|---|
| LBN Legal business name | Khairkhah, Nazanine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Dec 17th, 2019 - about 5 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 | 1518937622 | NPPES |
| New York | MEDICAID | 02575919 |
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