Pereira, Keith

Pereira, Keith is an individual health care provider with primary practice located at 645 E Missouri Ave Ste 300 , Phoenix AZ 85012-1351. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Pereira, Keith can be contacted via phone (480) 207-4403.

Contact Information

Primary practice address
645 E Missouri Ave Ste 300 Phoenix AZ 85012-1351
Phone: (480) 207-4403
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 32618 Arizona
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 32618 Arizona

Profile Details

NPI number 1215981436
LBN Legal business name Pereira, Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jun 25th, 2024 - about 2 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 1215981436 NPPES
Arizona Other 32618 STATE LICENSE
Arizona Other MD45253 STATE LICENSE
Arizona MEDICAID 857477-01 STATE LICENSE
Arizona Other AZ0736120 STATE LICENSE
Arizona Other M12701 STATE LICENSE
Arizona Other 146320 STATE LICENSE
Arizona Other 28231 STATE LICENSE

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