KEITH RYAN MD NPI 1073042180

NPI Information

NPI: 1073042180
Provider Name: KEITH RYAN, MD
Classification: Military Health Care Provider - 171000000X
Entity Type: Individual
Address:
34800 BOB WILSON DR
SAN DIEGO, CA
ZIP 92134
Phone: (619) 532-6827
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Keith Ryan, MD is a military health care provider in San Diego, CA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Keith Ryan, MD NPI is 1073042180. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

34800 BOB WILSON DR
SAN DIEGO, CA
ZIP 92134-098
Phone: (619) 532-6827

The enumeration date for this NPI number is 6/12/2017 and was last updated on 6/12/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171000000X	Military Health Care Provider				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	VAD0000	OTHER		MILITARY PHYSICIAN

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: 5/5/2024

NPI Synchronization or Removal

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