KESHAVJIVAN PLLC NPI 1922653690

NPI Information

  • NPI: 1922653690
  • Provider Name: KESHAVJIVAN PLLC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • :
  • CLIA Number: 03D2170257
  • Address: 171 W CENTRAL AVE
    COOLIDGE, AZ
    ZIP 85128
  • Phone: (520) 723-7726

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NPI Details

KESHAVJIVAN PLLC is a primary care nurse practitioner in Coolidge, AZ. KESHAVJIVAN PLLC NPI is 1922653690. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider .

The provider's business location address is:

171 W CENTRAL AVE
COOLIDGE, AZ
ZIP 85128-405
Phone: (520) 723-7726
Fax: (520) 723-4513

The provider's authorized official is Chetan Shaileshkumar Patel .
The authorized official title is Owner and has the following contact phone number (520) 723-7726.

The CLIA number assigned to this NPI record is 03D2170257 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/8/2019 and was last updated on 9/5/2025.

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
1363LP2300XNurse PractitionerPrimary CareYes

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: 11/21/2025

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