DR. KEYVAN NOURI (NPI# 1083644421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083644421 |
| Entity Type | Individual |
| Full Name | DR. KEYVAN NOURI |
| Credential | MD |
| Practice Address |
1475 Nw 12 Ave Box 016960 Miami FL 33101 |
| Practice Telephone | 3052438693 |
| Practice Fax Number | 3052438470 |
| Mailing Telephone | 3052438693 |
| Mailing Fax Number | 3052438470 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2013-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
ME71012 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 2553449-00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184664997 | Keyvan Nouri | Radiology | 2125 Oak Grove Rd, Suite 200, Walnut Creek, CA 94598-2536 | 2006-06-08 |
| Street Address |
1475 NW 12 AVE BOX 016960 |
| City | MIAMI |
| State | FL |
| Zip Code | 33101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063476653 | Lawrence A Schachner | Dermatology | 1475 Nw 12 Ave, Miami, FL 33101-6960 | 2006-04-12 |
| 1659396448 | Steven Vanni | Neurological Surgery | 1475 Nw 12 Ave, Miami, FL 33136 | 2006-07-13 |
| 1518991314 | Robert S Kirsner | Dermatology | 1475 Nw 12 Ave, Box 016960 (m851), Miami, FL 33101-6960 | 2006-07-10 |
| 1275561573 | George W Elgart | Dermatology | 1475 Nw 12 Ave, Box 016960 (m851), Miami, FL 33101-6960 | 2006-06-28 |
| 1063476315 | Ysabel M Bello | Dermatology | 1475 Nw 12 Ave, Box 016960 (m851), Miami, FL 33101-6960 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346463056 | University of Miami | Psychologist | 1601 Nw 12th Ave., Miami, FL 33101 | 2007-04-11 |
| 1538170147 | Carla Roscio Cordova | Anesthesiology | 1611 Nw 12th Ave, C302, University of Miami, Department of Anesthesiology, Miami, FL 33101 | 2006-08-10 |
| 1588671341 | Angela Fisher | Audiologist | 1666 Nw 10 Ave, Miami, FL 33101 | 2006-08-02 |
| 1922022011 | Rabah E Laoun | Obstetrics & Gynecology | 1611 Nw 12th, Miami, FL 33101-6960 | 2006-07-26 |
| 1740213958 | Adrien A Eshraghi | Otolaryngology | 1666 Nw 10 Ave, Box (m851), Miami, FL 33101-6960 | 2006-07-09 |
| 1922058452 | University of Miami | Internal Medicine | 1029 Nw 15th Ave, Box 016960 M851, Miami, FL 33101-6960 | 2006-05-12 |
| 1790740058 | Stephen N Symes | Internal Medicine | 1611 12th Ave, Box 016960 M851, Miami, FL 33101-6960 | 2006-04-19 |
| 1922062306 | Julia L Belkowitz | Pediatrics | 1601 Nw 12 Ave, Miami, FL 33101-6960 | 2006-04-13 |
| 1851355432 | Lourdes Grenier | Social Worker | 1666 Nw 12th Ave, Box 016960 (m851), Miami, FL 33101-6960 | 2006-04-12 |
| 1013925064 | Ana Elisa Campo | Psychiatry & Neurology | 1611 Nw 12th Ave, Box 016960 M851, Miami, FL 33101-6960 | 2006-08-04 |
| Find all providers in zip 33101 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942855150 | International Dermatology Research, Inc. | Dermatology | 8370 W Flagler St Ste 200, Miami, FL 33144-2038 | 2019-08-05 |
| 1003010216 | Anthony T Hasan | Dermatology | 8501 Sw 124th Ave Ste 112, Miami, FL 33183-4631 | 2007-06-12 |
| 1740556364 | Jennifer C Tang | Dermatology | 1475 Nw 12th Ave Fl 2, Miami, FL 33136-1002 | 2012-03-28 |
| 1679712269 | Leavitt Medical Associates of Florida Inc | Dermatology | 8501 Sw 124th Ave, Suite 112, Miami, FL 33183-4627 | 2009-02-05 |
| 1134371669 | Leavitt Medical Associates of Florida Inc | Dermatology | 8370 W Flagler St, Suite 200, Miami, FL 33144-2094 | 2008-10-15 |
| 1730339078 | Leavitt Medical Associates of Florida Inc | Dermatology | 11760 Bird Rd, #452, Miami, FL 33175-3582 | 2008-09-23 |
| 1023276516 | Leavitt Medical Associates of Florida Inc | Dermatology | 3661 S Miami Ave, Suite 702, Miami, FL 33133-4236 | 2008-05-30 |
| 1437317930 | Leavitt Medical Associates of Florida Inc | Dermatology | 9000 Sw 87th Ct, Suite 202, Miami, FL 33176-2231 | 2008-05-30 |
| 1568528081 | Blas A Reyes | Dermatology | 8940 N Kendall Dr, #1002 E, Miami, FL 33176 | 2006-12-29 |
| 1104993005 | Blas A Reyes Md Pa | Dermatology | 8940 N Kendall Dr, 1002 E, Miami, FL 33176-2178 | 2006-11-29 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.