Individual
DR. KEIVAN SHIFTEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
451 CLARKSON AVE, KINGS COUNTY HOSPITAL CENTER, BROOKLYN, NY 11203-2057
(718) 245-4447
Mailing address
915 E 17TH ST APT 416, BROOKLYN, NY 11230-3773
(718) 253-9888
(718) 920-7248
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
205877
NY
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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