Khashayar Etemadi (NPI# 1538240247, PAC ID# 6608189246) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
Nation Provider ID (NPI) | 1538240247 |
PAC ID by PECOS | 6608189246 |
Professional Enrollment ID | I20150724011959 |
Full Name | Khashayar Etemadi |
Address |
12729 Foothill Blvd A Rancho Cucamonga CA 91739-9334 |
Gender | M |
Graduation Year | 1992 |
Primary Specialty | ORAL SURGERY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
12729 Foothill Blvd A, Rancho Cucamonga, CA 91739-9334 |
Street Address |
12729 FOOTHILL BLVD A |
City | RANCHO CUCAMONGA |
State | CA |
Zip | 91739-9334 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel G Krall | Optometry | Clear View Optometry PC | 12263 Highland Ave, Suite 120, Rancho Cucamonga, CA 91739-2576 |
Jin Zhu | Optometry | Clear View Optometry PC | 12263 Highland Ave, Suite 120, Rancho Cucamonga, CA 91739-2576 |
Mihir K Sanghvi | Family Medicine | 5155 Seagreen Ct, Rancho Cucamonga, CA 91739-2637 | |
Wahid Midou | Internal Medicine | 5065 Sagewood Dr, Rancho Cucamonga, CA 91739-5138 | |
Theodore Gerard A Caspe | Family Medicine | 12375 Baseline Rd, Suite 104, Rancho Cucamonga, CA 91739-5993 | |
Henry Lin | Allergy/immunology | 8008 Monet Ave, Suite 107, Rancho Cucamonga, CA 91739-7509 | |
Justin T Abo | Optometry | 12759 Foothill Blvd, Suite C, Rancho Cucamonga, CA 91739-9336 | |
Leena G Adhikari | Optometry | 11940 Foothill Blvd, Suite 103, Rancho Cucamonga, CA 91739-9375 | |
Justin Fu | Internal Medicine | 6627 Murrietta Ct, Rancho Cucamonga, CA 91739-9556 |
City | RANCHO CUCAMONGA |
Zip Code | 91739 |
Specialty | ORAL SURGERY |
City + Specialty | RANCHO CUCAMONGA + ORAL SURGERY |
Please comment or provide details below to improve the information on Khashayar Etemadi.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.