Individual
DR. SASSAN KESHAVARZI
Active
Individual
DR. SASSAN KESHAVARZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
332737
LA
207T00000X
Neurological Surgery Physician
A99882
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003125355A
—
GA
05
—
005823100
—
FL
01
—
14L8S
BCBS
FL
01
—
CA176642
PTAN
—
Enumeration date
10/08/2008
Last updated
10/14/2022
Update your record
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