Provider Demographics
NPI:1336186725
Name:ZAVAREI, KEYVAN (MD)
Entity type:Individual
Prefix:DR
First Name:KEYVAN
Middle Name:
Last Name:ZAVAREI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2888 LONG BEACH BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-1530
Mailing Address - Country:US
Mailing Address - Phone:949-588-7246
Mailing Address - Fax:949-272-3746
Practice Address - Street 1:2888 LONG BEACH BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1530
Practice Address - Country:US
Practice Address - Phone:949-588-7246
Practice Address - Fax:949-272-3746
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA888052081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI30143Medicare UPIN
CAI30143Medicare UPIN
CAAPPLYINGMedicare ID - Type Unspecified