National Provider Identifier Database

KEYVAN GHARABEIGHLOU, DO – NPI #1376588202
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

KEYVAN GHARABEIGHLOU, DO
2500 E ENTERPRISE AVE
UNIT C
APPLETON, WI54913
Phone: 920-739-5642
Fax: 920-968-0259
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for KEYVAN GHARABEIGHLOU

NPI Number 1376588202
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/17/2006
Last updated 04/16/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • WI License #: 45650
  • WI Medicaid: 43506200
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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