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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEKA AMIN MOSTOFA, M.D.

Active Sole Proprietor

KEKA AMIN MOSTOFA, M.D. is a Internal Medicine healthcare provider located in FOLSOM, California. NPI 1740591650 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · FOLSOM, CA

Registration Details

NPI Number
1740591650
Provider Type
Individual
Gender
Female
NPI Issued
Jun 24, 2010 (16.153940858791 yrs)
Last Updated
Oct 2, 2013
Licenses
186191 (DC)
A125471 (CA)
Sole Proprietor
Yes

Practice Information

Address
1650 CREEKSIDE DR
FOLSOM, CA, 956303400
Browse CA providers · Browse ZIP 95630
Phone
9169864426
Fax
9169864434
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in FOLSOM, CA

Name Credential NPI
DR. CARLOS GABRIEL PEREZ M.D. 1356341606
ROBERT J DEBRUIN M.D. 1073507786
DR. ROGER MAR-TANG M.D. 1851375307
KANAT RANSIBRAHMANAKUL M.D. 1407831662
AMANDA CAMPOSAGRADO M.D. 1780669945
DR. JAMES CHEN 1568447266
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.