Kevan John Mamdouhi

  • NPI 1013477512
According to our database, the NPI number for Kevan John Mamdouhi is 1013477512 and activated since 5 years ago. Kevan John Mamdouhi is an individual provider who specializes in Student in an Organized Health Care Education/Training Program, and the primary practice location is 55 Lake Ave N, Worcester, MA 01655. You can also contact Kevan John Mamdouhi via telephone number is (508) 334-1000. Provider NPI information was last updated on 03/21/2019.

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Overview of Kevan John Mamdouhi

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 03/21/2019
  • Last updated: 03/21/2019

Primary Scrop of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 55 Lake Ave N
    Worcester, MA 01655
  • Phone: 508-334-1000
  • Fax:

Provider Practice Location

  • Address: 55 Lake Ave N
    Worcester, MA 01655
  • Phone: 508-334-1000
  • Fax:

Scope of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kevan John Mamdouhi?
  • A: The npi number for Kevan John Mamdouhi is 1013477512.
  • Q: What are Kevan John Mamdouhi's specialties?
  • A: Kevan John Mamdouhi's specialties are Student in an Organized Health Care Education/Training Program and different specialities.
  • Q: What is the medical license for Kevan John Mamdouhi?
  • A: The medical license number for Kevan John Mamdouhi is unknow and issued in unknow in USA.
  • Q: Where is Kevan John Mamdouhi practice location?
  • A: Kevan John Mamdouhi is practicing at 55 Lake Ave N, Worcester, MA 01655.
  • Q: How to contact Kevan John Mamdouhi?
  • A: You can contact Kevan John Mamdouhi via 508-334-1000.
Medicare Specialty
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Sports Medicine
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Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.