Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Keivan Ettefagh, MD

Individual provider Pediatrics Physician · NPI 1144227729

Dr. Keivan Ettefagh, MD is a Pediatrics Physician in Greensboro, North Carolina. Works from 2 locations. Licensed in North Carolina and Rhode Island.

Licensed in
NC, RI
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2707 Henry St
Greensboro, NC 27405
Phone: (336) 574-4280
Fax: (336) 574-4634
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17 Virginia Ave, Providence, RI 02905-4406 — (401) 443-4990

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2018-00348 (NC)
Pediatrics Physician Taxonomy 208000000X · Licence MD07109 (RI)

Record details

NPI number1144227729
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2005
Last updated in NPPESMay 16, 2018

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