Rafei, Keyvan

Rafei, Keyvan is an individual health care provider with primary practice located at 10380 Old Columbia Rd Ste 100 , Columbia MD 21046-2005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Rafei, Keyvan can be contacted via phone (443) 492-4000.

Contact Information

Primary practice address
10380 Old Columbia Rd Ste 100 Columbia MD 21046-2005
Phone: (443) 492-4000
Fax: (443) 492-4010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X D58619 Maryland

Profile Details

NPI number 1669417267
LBN Legal business name Rafei, Keyvan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Nov 29th, 2022 - about 2 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 1669417267 NPPES
Maryland MEDICAID 022004300
Maryland MEDICAID 400788300

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