Khademi-Kermanshahi, Ardeshir

Khademi-Kermanshahi, Ardeshir is an sole proprietor health care provider with primary practice located at 1840 Mease Dr Suite 407B, Safety Harbor FL 34695-6602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Khademi-Kermanshahi, Ardeshir can be contacted via phone (727) 712-1567.

Contact Information

Primary practice address
1840 Mease Dr Suite 407B Safety Harbor FL 34695-6602
Phone: (727) 712-1567
Fax: (727) 796-2719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME80114 Florida

Profile Details

NPI number 1861585903
LBN Legal business name Khademi-Kermanshahi, Ardeshir
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861585903 NPPES
Florida MEDICAID 272101500

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