Keshavarz, Tahereh
Keshavarz, Tahereh is an individual health care provider with primary practice located at 700 1St Ave S Meritcare Neuroscience Clinic -, Fargo ND 58103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Keshavarz, Tahereh can be contacted via phone (701) 234-4036.Contact Information
Primary practice address
700 1St Ave S Meritcare Neuroscience Clinic -
Fargo ND 58103
Phone: (701) 234-4036
Fax: (701) 234-4134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PAC0409 | North Dakota |
Profile Details
| NPI number | 1326287244 |
|---|---|
| LBN Legal business name | Keshavarz, Tahereh |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2009 |
| Last updated | Nov 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326287244 | NPPES |
| North Dakota | MEDICAID | 71175 |
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