Roayaie, Kayvan

Roayaie, Kayvan is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd L590, Portland OR 97239-3011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Roayaie, Kayvan can be contacted via phone (415) 425-2265.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd L590 Portland OR 97239-3011
Phone: (415) 425-2265
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X A78752 California
Allopathic & Osteopathic Physicians / Surgery 208600000X A78752 California

Profile Details

NPI number 1922039973
LBN Legal business name Roayaie, Kayvan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Sep 28th, 2010 - about 16 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 1922039973 NPPES
California MEDICAID 00A787520

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