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KEJARO MD PLLC NPI 1720227523


NPI Information

NPI: 1720227523
Provider Name: KEJARO MD, PLLC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
2825 N STATE ROAD 7
SUITE 201
MARGATE, FL
ZIP 33063
Phone: (954) 972-4900
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KEJARO MD, PLLC is a pulmonary disease internal medicine in Margate, FL. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. KEJARO MD, PLLC NPI is 1720227523. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2825 N STATE ROAD 7
SUITE 201
MARGATE, FL
ZIP 33063-737
Phone: (954) 972-4900
Fax: (954) 917-4940

The provider's authorized official is Keith Jamal Robinson .
The authorized official title is Manager and has the following contact phone number (954) 564-7976.

The enumeration date for this NPI number is 2/18/2009 and was last updated on 5/7/2009.


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
1207R00000XInternal MedicineA83200CALIFORNIANo
2207R00000XInternal MedicineME86367FLORIDANo
3207RC0200XInternal MedicineCritical Care MedicineME86367FLORIDANo
4207RC0200XInternal MedicineCritical Care MedicineA83200CALIFORNIANo
5207RP1001XInternal MedicinePulmonary DiseaseA83200CALIFORNIANo
6207RP1001XInternal MedicinePulmonary DiseaseME86367FLORIDAYes

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
1I06388MEDICARE UPIN
2276264100MEDICAIDFLORIDA
338085MEDICARE PIN

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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