Individual
DR. MADJID KEYVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1155 MILL ST, RENO, NV 89502-1576
(775) 982-7878
(775) 982-4196
Mailing address
1155 MILL ST, MS M-14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-4196
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
00025499
AL
2084N0400X
Neurology Physician
Primary
16879
NV
2084V0102X
Vascular Neurology Physician
816325
CA
208M00000X
Hospitalist Physician
16879
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051530624
BCBS OF AL
AL
05
—
051556664
—
AL
01
—
1508965666
MEDICAL
CA
Enumeration date
09/22/2006
Last updated
10/04/2022
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