MEDICARE: KAYVAN KEYHANI MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	222645-1	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DO7208	OTHER	NY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1275549552	OTHER	NY	NPI

General Provider Information

NPI Number	:	1063667202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAYVAN KEYHANI MD PC

Provider Business Mailing Address
First Line	:	3535 HILL BLVD STE R
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-1209
Country	:	US
Telephone Number	:	914-245-3303
Fax Number	:	914-245-3531

Provider Business Practice Location Address
First Line	:	3535 HILL BLVD STE R
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-1209
Country	:	US
Telephone Number	:	914-245-3303
Fax Number	:	914-245-3531

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. KAYVAN KEYHANI
Credential	:	M.D.
Telephone Number	:	914-245-3303

Provider Enumeration Date	:	12/01/2008
Last Update Date	:	03/29/2024

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