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Contact Information

K. KEVIN NESHAT, DDS, MD, PA
8305 FALLS OF NEUSE RD
SUITE 105
RALEIGH, NC27615-3546
 Phone: 919-841-1720
 Fax: 919-841-1725
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

NPI Profile & details for K. KEVIN NESHAT, DDS, MD, PA

NPI # 1770637779
LBN Legal business name K. KEVIN NESHAT, DDS, MD, PA
Authorized official KHASHAYAR NESHAT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/23/2007
Last updated 10/15/2008 - About 18 years ago
Identifiers
NC License # 6503
NC Other 902AF BCBS
NC Other 2428852 MEDICARE ID P10#
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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