Raiszadeh, Kamshad

Raiszadeh, Kamshad is an individual health care provider with primary practice located at 6719 Alvarado Road Suite 308, San Diego CA 92120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Raiszadeh, Kamshad can be contacted via phone (619) 265-7912.

Contact Information

Primary practice address
6719 Alvarado Road Suite 308 San Diego CA 92120
Phone: (619) 265-7912
Fax: (619) 265-7922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X G74016 California

Profile Details

NPI number 1841356664
LBN Legal business name Raiszadeh, Kamshad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Aug 23rd, 2012 - about 12 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 1841356664 NPPES
California Other G74016 LICENSE NUMBER

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