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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

BAHAREH E KEITH, DO
1600 SW ARCHER RD
GAINESVILLE, FL32610-3003
 Phone: 352-273-0462
 Fax: 352-273-6250
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BAHAREH E KEITH · (Female)

NPI Number 1003011735
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/21/2007
Last updated 09/24/2010 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OS10957
  • FL License # UO1652
  • FL Medicaid 002398600
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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