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Individual

KIUMARS REZA HEKMAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2725 CAPITOL AVE, SUITE 400, SACRAMENTO, CA 95816
(916) 262-9386
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(855) 771-0335

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
A37811
CA
208800000X
Urology Physician
Primary
A37811
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A378110
CA
Enumeration date
04/10/2007
Last updated
09/04/2015
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