Khavari, Andrew Reza

Khavari, Andrew Reza is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1815. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Khavari, Andrew Reza can be contacted via phone (937) 641-4040.

Contact Information

Primary practice address
1 Childrens Plz Dayton OH 45404-1815
Phone: (937) 641-4040
Fax: (937) 641-3066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 35.091409 Ohio
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35-091409 Ohio

Profile Details

NPI number 1932399482
LBN Legal business name Khavari, Andrew Reza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2007
Last updated Oct 13th, 2023 - about 3 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 1932399482 NPPES
Ohio MEDICAID 3047063

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