Individual
DR. REZA KESHAVARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1879 MADISON AVE, NEW YORK, NY 10035-2709
(212) 423-4069
Mailing address
1879 MADISON AVE, NEW YORK, NY 10035-2709
(212) 423-4069
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
193157
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
193157
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01596496
—
NY
Enumeration date
09/28/2006
Last updated
09/11/2025
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