Malekshamran, Keyvan
Malekshamran, Keyvan is an individual health care provider with primary practice located at 1121 E Washington Ave , Escondido CA 92025-2214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Malekshamran, Keyvan can be contacted via phone (760) 871-0606.Contact Information
Primary practice address
1121 E Washington Ave
Escondido CA 92025-2214
Phone: (760) 871-0606
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A94845 | California |
Profile Details
| NPI number | 1952466112 |
|---|---|
| LBN Legal business name | Malekshamran, Keyvan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Apr 21st, 2021 - about 3 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 | 1952466112 | NPPES |
| California | Other | WA94845A | INDIVIDUAL PTAN |
| California | Other | W3731 | INDIVIDUAL PTAN |
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