Provider Demographics
NPI:1699268292
Name:NEJAD, KAMRAN RAHMAT (MD)
Entity type:Individual
Prefix:
First Name:KAMRAN
Middle Name:RAHMAT
Last Name:NEJAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:KAMRAN
Other - Middle Name:
Other - Last Name:RAHMATNEJAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8401 GOLDEN VALLEY RD STE 330
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55427-4687
Mailing Address - Country:US
Mailing Address - Phone:763-416-7600
Mailing Address - Fax:763-416-7634
Practice Address - Street 1:8501 GOLDEN VALLEY RD STE 100
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55427-4472
Practice Address - Country:US
Practice Address - Phone:763-416-7600
Practice Address - Fax:763-416-7634
Is Sole Proprietor?:No
Enumeration Date:2018-06-08
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA176509207W00000X
VA0116033054207W00000X
MN73280207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology