DR. KEIVAN ETTEFAGH MD
NPI 1144227729
Pediatrics in Greensboro, NC

Active since June 28, 2005
2707 HENRY ST, GREENSBORO, NC 27405(336) 574-4280(336) 574-4634 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 16, 2018, Jun 13, 2016, Nov 30, 2015 (3 updates tracked since 2015).

About Dr. Keivan Ettefagh Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEIVAN ETTEFAGH MD (NPI 1144227729) is an individual pediatrics provider in Greensboro, North Carolina, licensed in North Carolina (2018-00348) and active in the NPI registry since June 2005. He maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1144227729
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. KEIVAN ETTEFAGHCredential: MD
Location Address2707 HENRY STGreensboro, NC 27405
Mailing Address2707 Henry StGreensboro, NC 27405-3669 · (336) 574-4280 · Fax (336) 574-4634
Fax(336) 574-4634
Sole ProprietorNo
Enumeration DateJune 28, 2005
Last NPPES UpdateMay 16, 20183 updates tracked since enumeration
NPI 1144227729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in NC · 2018-00348 Licensed in RI · MD07109
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2707 HENRY ST, Greensboro, NC 27405

Secondary Practice Location 1

Location 117 Virginia Ave, Suite 107Providence, RI 02905-4406 · Phone (401) 443-4990 · Fax (401) 784-4902

Other Identifiers 1

Medicaid9002176RI

Accepted Insurance

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
2707 HENRY ST
GREENSBORO, NC 27405
Pediatrics
2707 HENRY ST
GREENSBORO, NC 27405
Pediatrics
2707 HENRY ST
GREENSBORO, NC 27405
Pediatrics
2707 HENRY ST
GREENSBORO, NC 27405
Specialist/Technologist (Athletic Trainer)
2707 HENRY ST
GREENSBORO, NC 27405
Pediatrics
2707 HENRY ST
GREENSBORO, NC 27405
Pediatrics
2707 HENRY ST
GREENSBORO, NC 27405
Pediatrics
2707 HENRY ST
GREENSBORO, NC 27405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keivan Ettefagh's NPI number?

The NPI number for Keivan Ettefagh is 1144227729. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Keivan Ettefagh located?

Keivan Ettefagh practices at 2707 Henry St, Greensboro, NC 27405. The listed phone number is (336) 574-4280.

What is Keivan Ettefagh's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Keivan Ettefagh accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Keivan Ettefagh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keivan Ettefagh was last updated on May 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.