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Individual

SHAHROKH N KAYHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036053401
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036053401
IL
01
4673170001
DMERC GROUP
IL
01
P00006288/CK6882
MEDICARE RAILROAD
IL
01
P00006289/CK6883
MEDICARE RAILROAD
IL
Enumeration date
05/02/2006
Last updated
11/09/2016
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