Dr KEIVAN ABTAHI is a male medical professional, specializing in Orthopedic Surgery. He graduated in 2012 from Nova Southeastern Univ College Of Dental Medicine.
INTEGRIS AMBULATORY CARE CORPORATION
3433 NW 56TH ST
950 INTEGRIS ORTHO CENTRAL
OKLAHOMA CITY
OK
731124453
Tel: 4057139940
Npi | 1295000560 |
Pac Id | 1951674324 |
Professional Enrollment Id | I20180813002509 |
Last Name | ABTAHI |
First Name | KEIVAN |
Middle Name | |
Suffix | |
Gender | M |
Credential | |
Medical School Name | NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE |
Graduation Year | 2012 |
Primary Specialty | ORTHOPEDIC SURGERY |
Secondary Specialty 1 | |
Secondary Specialty 2 | |
Secondary Specialty 3 | |
Secondary Specialty 4 | |
All Secondary Specialties | |
Organization Legal Name | INTEGRIS AMBULATORY CARE CORPORATION |
Group Practice Pac Id | 2365408465 |
Number Of Group Practice Members | 423 |
Line 1 Street Address | 3433 NW 56TH ST |
Line 2 Street Address | 950 INTEGRIS ORTHO CENTRAL |
Marker Of Address Line 2 Suppression | |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 731124453 |
Phone Number | 4057139940 |
Hospital Affiliation Ccn 1 | 370028 |
Hospital Affiliation Lbn 1 | INTEGRIS BAPTIST MEDICAL CENTER, INC |
Hospital Affiliation Ccn 2 | 370236 |
Hospital Affiliation Lbn 2 | INTEGRIS HEALTH EDMOND |
Hospital Affiliation Ccn 3 | 370106 |
Hospital Affiliation Lbn 3 | INTEGRIS SOUTHWEST MEDICAL CENTER |
Hospital Affiliation Ccn 4 | |
Hospital Affiliation Lbn 4 | |
Hospital Affiliation Ccn 5 | |
Hospital Affiliation Lbn 5 | |
Professional Accepts Medicare Assignment | Y |
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