Roayaie, Kayvan
Roayaie, Kayvan is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd L590, Portland OR 97239-3011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Roayaie, Kayvan can be contacted via phone (415) 425-2265.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd L590
Portland OR 97239-3011
Phone: (415) 425-2265
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | A78752 | California |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A78752 | California |
Profile Details
| NPI number | 1922039973 |
|---|---|
| LBN Legal business name | Roayaie, Kayvan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Sep 28th, 2010 - about 14 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 | 1922039973 | NPPES |
| California | MEDICAID | 00A787520 |
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