Nouri, Keyvan

Nouri, Keyvan is an individual health care provider with primary practice located at 1475 Nw 12 Ave Box 016960, Miami FL 33101. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Nouri, Keyvan can be contacted via phone (305) 243-8693.

Contact Information

Primary practice address
1475 Nw 12 Ave Box 016960 Miami FL 33101
Phone: (305) 243-8693
Fax: (305) 243-8470
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X ME71012 Florida

Profile Details

NPI number 1083644421
LBN Legal business name Nouri, Keyvan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jan 31st, 2013 - about 11 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 1083644421 NPPES
Florida MEDICAID 2553449-00

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