Individual
DR. KEYUR PRADOBH AJBANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MEDICAL BLVD, CANONSBURG, PA 15317-9762
(724) 745-3077
(724) 746-8579
Mailing address
PO BOX 11090, WESTMINSTER, CA 92685-1090
(562) 809-3548
(562) 468-0726
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
244821
NY
207PS0010X
Sports Medicine (Emergency Medicine) Physician
MD430663
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02907413
—
NY
01
—
MA079138
LICENSE
NJ
01
—
MD430663
LICENSE
PA
Enumeration date
04/19/2007
Last updated
06/12/2008
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