Individual
KAYVON IZADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 N 192ND ST, ELKHORN, NE 68022-5363
(402) 390-4111
(402) 390-4115
Mailing address
8005 FARNAM DR STE 305, OMAHA, NE 68114-3426
(402) 390-4111
(402) 390-4115
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01064516A
IN
207X00000X
Orthopaedic Surgery Physician
2004-0558
NM
207X00000X
Orthopaedic Surgery Physician
24919
NE
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
24919
NE
207XS0106X
Orthopaedic Hand Surgery Physician
MD-47483
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144369182
—
IA
05
—
47068731742
—
NE
05
—
47068731751
—
NE
Enumeration date
02/06/2007
Last updated
10/30/2025
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