Keramati, Michael M
Keramati, Michael M is an individual health care provider with primary practice located at 16550 Ventura Blvd 214, Encino CA 91436-2004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Keramati, Michael M can be contacted via phone (818) 990-5588.Contact Information
Primary practice address
16550 Ventura Blvd 214
Encino CA 91436-2004
Phone: (818) 990-5588
Fax: (818) 990-5589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A8906 | California |
Profile Details
| NPI number | 1962441238 |
|---|---|
| LBN Legal business name | Keramati, Michael M |
| Credentials | DO, DDS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1962441238 | NPPES |
| California | MEDICAID | 00AX89060 |
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