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KIUMARS SAKETKHOO MD INC NPI 1689790750


NPI Information

NPI: 1689790750
Provider Name: KIUMARS SAKETKHOO MD, INC
Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
12462 PUTNAM STREET
STE 208
WHITTIER, CA
ZIP 90602
Phone: (562) 789-5470
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KIUMARS SAKETKHOO MD, INC is a critical care medicine internal medicine in Whittier, CA. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. KIUMARS SAKETKHOO MD, INC NPI is 1689790750. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12462 PUTNAM STREET
STE 208
WHITTIER, CA
ZIP 90602-005
Phone: (562) 789-5470
Fax: (562) 789-4480

The provider's authorized official is Kiumars Saketkhoo .
The authorized official title is President and has the following contact phone number (562) 789-5470.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 7/1/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0200XInternal MedicineCritical Care MedicineA32779CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W14420MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2GR0084320MEDICAIDCALIFORNIA
3A26930MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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