Individual
DR. KEVIN MOHTASHEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256-3307
(317) 579-2150
(317) 579-2130
Mailing address
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256-3307
(317) 579-2150
(317) 579-2130
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101247492
VA
2085R0202X
Diagnostic Radiology Physician
Primary
01080213A
IN
2085R0202X
Diagnostic Radiology Physician
16096
NV
2085R0202X
Diagnostic Radiology Physician
C138973
CA
2085R0202X
Diagnostic Radiology Physician
D70173
MD
2085R0202X
Diagnostic Radiology Physician
MD038432
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831324011
—
NV
Enumeration date
05/18/2009
Last updated
01/09/2024
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