Keith Raphael Doram M.D.

NPI 1720306756 - Internal Medicine - 207RG0300X

NPI Details
NPI 1720306756
Gender Male
Enumeration Date 05/14/2010
Last Updated 05/14/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2100 DOUGLAS BLVD
ROSEVILLE CA, 95661-3804, US
Phone (916) 781-4627
Fax (916) 783-9909
Business Location
3641 GHISLAINE CT
ROSEVILLE CA, 95747-9152, US
Phone (916) 878-0663
Fax
Toxanomy
Taxonomy Code 207RG0300X
License State Pennsylvania
License Number MD067852L
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According to our database, Keith Raphael Doram M.D. NPI is 1720306756, taxonomy code is 207RG0300X and license number is MD067852L, license state is located at Pennsylvania. Keith Raphael Doram M.D. physically located at 2100 Douglas Blvd, Roseville CA, 95661-3804. NPI Number Keith Raphael Doram M.D. has the Individual type.

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1720306756 NPI number is provided on an as is basis without warranty of any kind. 1720306756 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Raphael Doram M.D. are for informational purposes only.