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NPI Code Detail

MEDICARE: KEYVAN HASHEMI DDS

MEDICARE:   KEYVAN  HASHEMI  DDS
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
11223G0001XGeneral Practice Dentistry39645CA

General Provider Information

NPI Number : 1770747057
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEYVAN HASHEMI DDS
Provider Business Mailing Address
First Line : 3315 ALTA ARDEN EXPY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95825-2166
Country : US
Telephone Number : 408-205-1813
Fax Number : 916-836-3851
Provider Business Practice Location Address
First Line : 3315 ALTA ARDEN EXPY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95825-2166
Country : US
Telephone Number : 408-205-1813
Fax Number : 916-836-3851
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2008
Last Update Date : 07/25/2025

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Directions to “ KEYVAN HASHEMI DDS” Practice Location

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