KEYVAN RAFEI (NPI# 1669417267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669417267 |
| Entity Type | Individual |
| Full Name | KEYVAN RAFEI |
| Credential | MD |
| Practice Address |
6100 Dobbin Rd Columbia MD 21045-5804 |
| Mailing Address |
Po Box 65052 Baltimore MD 21264-5052 |
| Practice Telephone | 4434924000 |
| Practice Fax Number | 4434924010 |
| Mailing Telephone | (443) 492-4000 |
| Mailing Fax Number | 4434924010 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2017-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
D58619 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 400788300 | 05 | |
| MD | 022004300 | 05 |
| Street Address |
6100 DOBBIN RD |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-5804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487156329 | Caitlin Kelly | Nurse Practitioner | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2018-03-07 |
| 1629570049 | Jennifer Ryu | Nurse Practitioner | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2018-03-01 |
| 1982143798 | Kinder Mender | Clinic/Center | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2017-02-14 |
| 1154869162 | Catherine Aldinger | Nurse Practitioner | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2017-02-09 |
| 1841741352 | Megan Calvert | Nurse Practitioner | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2016-10-19 |
| 1265885206 | Lauren Restaino | Nurse Practitioner | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2016-07-14 |
| 1194199190 | Joanna Manzo Delfin | Nurse Practitioner | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2015-11-15 |
| 1548642028 | Elizabeth Hall | Nurse Practitioner | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2015-06-22 |
| 1669864591 | Sarah Calvert Lartey | Nurse Practitioner | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2015-03-02 |
| 1417364753 | Kinder Mender, LLC | Pediatrics | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2014-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801812201 | Margaret Mary Brewinski Isaacs | Pediatrics | 6707 Democracy Blvd, Suite 400, Bethesda, MD 20817-1129 | 2006-07-15 |
| 1194771378 | Martha W Stevens | Pediatrics | 1800 Orleans St # G-1509, Hospital Based @ Jhh-bloomberg Children's Center, Baltimore, MD 21287-0010 | 2006-05-26 |
| 1013967454 | Kimmie L Cass | Pediatrics | 1307 Cranesbill Ct, Apt. 101, Belcamp, MD 21017-2415 | 2006-05-10 |
| 1952359101 | Veena R Kumar | Pediatrics | 7710 Woodmont Ave Apt 411, Bethesda, MD 20814-6064 | 2006-05-04 |
| 1730786104 | Joseph William Russo | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-07 |
| 1528690864 | Alia Sunderji | Pediatrics | 615 N Wolfe St, Baltimore, MD 21205-2103 | 2020-02-05 |
| 1669947180 | Johns Hopkins University | Pediatrics | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2018-10-11 |
| 1841652070 | Amita Ghuman | Pediatrics | 4940 Eastern Ave Fl 4, Baltimore, MD 21224-2735 | 2016-03-26 |
| 1215265996 | Frederick Memorial Hospital Inc | Pediatrics | 400 W 7th St, Frederick, MD 21701-4506 | 2009-11-18 |
| 1912167784 | Elizabeth Quaal Hines | Pediatrics | 650 W Lombard St, Baltimore, MD 21201-1513 | 2008-06-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KEYVAN RAFEI.
| 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.