KAMRAN DASTOURY, MD, Oral & Maxillofacial Surgery LAKEWOOD, CO

Contact Information

KAMRAN DASTOURY, MD

2290 KIPLING ST UNIT 2
LAKEWOOD, CO 80215-1546

Phone: 661-466-8266
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery
Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for KAMRAN DASTOURY · (Male)

NPI #	`1275831208`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	02/28/2011
Last updated	05/05/2018 - About 8 years ago
Sole proprietor ¹	Yes
Identifiers	CA License # 101382 CA License # A146736 CO License # 000203543
Hospital affiliation(s)	Not Available

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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