Provider Demographics
NPI:1831115054
Name:KESHEN, TAMIR H (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMIR
Middle Name:H
Last Name:KESHEN
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 1:2403 CASTILLO ST
Mailing Address - Street 2:202
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-5316
Mailing Address - Country:US
Mailing Address - Phone:805-563-6560
Mailing Address - Fax:805-563-3680
Practice Address - Street 1:2403 CASTILLO ST
Practice Address - Street 2:202
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-5316
Practice Address - Country:US
Practice Address - Phone:805-563-6560
Practice Address - Fax:805-563-3680
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG879582086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
H64233Medicare UPIN