Organization
NSHAN D DEKEYAN DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NSHAN DAVET DEKEYAN DPM (OWNER)
(818) 697-8767
Entity
Organization
Contact information
Practice address
19300 RINALDI ST UNIT 7554, NORTHRIDGE, CA 91327-8828
(818) 697-8767
(818) 657-8776
Mailing address
1901 E 1ST ST, PO BOX 467, NEWTON, KS 67114-0467
(316) 284-6402
(316) 284-6402
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E5603
LICENSE
CA
Enumeration date
08/16/2021
Last updated
08/16/2021
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