Individual
DR. SASSAN KESHAVARZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1415 TULANE AVE FL 5, NEW ORLEANS, LA 70112-2600
(504) 988-5263
Mailing address
2701 CHESTER AVE, STE 102, BAKERSFIELD, CA 93301-2016
(844) 637-8363
(844) 637-8332
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
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