Hesamoddin Keshmiri, D.O

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

4440 W 95TH St
131No
Oak Lawn, IL 60453-2600

Phone

(708) 684-5673

NPI assigned

Aug 12, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344729600000",
    "number": "1619224375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9815 RIDGELAND AVE",
            "address_2": "APT 1W",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 W 95TH ST",
            "address_2": "131NO",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532600",
            "telephone_number": "708-684-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESHMIRI",
        "first_name": "HESAMODDIN",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-12",
        "last_updated": "2012-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Rose Kennedy, MD
• Michael R Kennedy, M.D.
• Sarah Elizabeth Kenny, CF-SLP
• Mitchell Nathan Kentor, MD
• Christopher Michael Kerwin, M.D.
• Nicolas Kettaneh, M.D.
• Timothy Michael Ketterhagen, M.D.
• Nicholas Anthony Kettman
• Romaric Alain Keuwo, CCC-SLP
• Wassia Khaja Ahmed, M.D.

• Student in an Organized Health Care Education/Training Program in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Student in an Organized Health Care Education/Training Program in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.