Ghazanfari, Keikhosrow

Ghazanfari, Keikhosrow is an individual health care provider with primary practice located at 3004 N Ashland Ave , Chicago IL 60657-3012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Ghazanfari, Keikhosrow can be contacted via phone (773) 871-4600.

Contact Information

Primary practice address
3004 N Ashland Ave Chicago IL 60657-3012
Fax: (773) 871-2900
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036047888 Illinois

Profile Details

NPI number 1831188747
LBN Legal business name Ghazanfari, Keikhosrow
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Oct 12th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831188747 NPPES
Illinois MEDICAID 036047888

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