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NPI 1699389130

NPI 1699389130 : KASHEFI MD INC : PASADENA, CA

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General NPI Number Information
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    NPI Number           |    1699389130
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    Entity Type          |    Organization 
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    Legal Business Name  |    KASHEFI MD INC 
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Dates
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    Enumeration Date     |    09/02/2020
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    Last Update Date     |    12/03/2025
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Provider Practice Location Address
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    Address Line         |    960 E GREEN ST STE 110A 
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    City                 |    PASADENA
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    State                |    CA
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    Zip                  |    91106-2401
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    Country              |    US
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    Telephone            |    626-640-7474
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    960 E GREEN ST STE 110A 
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    City                 |    PASADENA
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    State                |    CA
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    Zip                  |    91106-2401
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    Country              |    US
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    Telephone            |    626-640-7474
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    Fax                  |    323-521-5021
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     AMIR  KASHEFI 
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    Credential           |    MD
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    Telephone            |    818-270-1280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085R0204X
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    Taxonomy Name        |    Vascular & Interventional Radiology Physician
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    License Number       |    
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    License Number State |    
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