Khanmoradi, Kamran

Khanmoradi, Kamran is an individual health care provider with primary practice located at 750 East Adams St Suite 2W, Syracuse NY 13210. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Transplant Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Khanmoradi, Kamran can be contacted via phone (315) 464-9535.

Contact Information

Primary practice address
750 East Adams St Suite 2W Syracuse NY 13210
Fax: (315) 464-6288
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD430385 Pennsylvania
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 249966 New York

Profile Details

NPI number 1861606634
LBN Legal business name Khanmoradi, Kamran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Oct 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861606634 NPPES
New York MEDICAID 03436880

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