Shayesteh, Kamran

Shayesteh, Kamran is an individual health care provider with primary practice located at 1 Tech Park Dr Ste 1200 , Johnstown PA 15901-2515. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Shayesteh, Kamran can be contacted via phone (814) 534-6750.

Contact Information

Primary practice address
1 Tech Park Dr Ste 1200 Johnstown PA 15901-2515
Phone: (814) 534-6750
Fax: (814) 535-6760
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X OS012172 Pennsylvania

Profile Details

NPI number 1336150564
LBN Legal business name Shayesteh, Kamran
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Mar 14th, 2019 - about 7 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 1336150564 NPPES
Pennsylvania MEDICAID 1025321390001

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