Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | S0475 | TX |
Y | 111NI0900X | Internist | S0475 | TX |
NPI | 1003279969 |
---|---|
Provider Name | Neil Keshvani |
First Address | Dallas, TX 75284-7208 |
Second Address | Dallas, TX 75235-7709 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2016 |
Last Update Date | 18/02/2019 |