Khosraviani, Ardeshir

Khosraviani, Ardeshir is an individual health care provider with primary practice located at 3989 W Stetson Ave Suite 202, Hemet CA 92545-9695. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Khosraviani, Ardeshir can be contacted via phone (951) 652-3558.

Contact Information

Primary practice address
3989 W Stetson Ave Suite 202 Hemet CA 92545-9695
Phone: (951) 652-3558
Fax: (951) 652-5547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A122319 California
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A122319 California

Profile Details

NPI number 1346569779
LBN Legal business name Khosraviani, Ardeshir
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2010
Last updated Nov 29th, 2021 - about 4 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 1346569779 NPPES
California MEDICAID 1346569779

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