Doctor profile · Federal record
Dr. Keivan Ettefagh, MD
Pediatrics Physician · Pediatrics Physician · Greensboro, NC
- NPI 1144227729
- 21 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
2707 Henry St
Greensboro, NC 27405
(336) 574-4280
fax (336) 574-4634 - Additional location
-
17 Virginia Ave, Suite 107
Providence, RI 029054406
(401) 443-4990
fax (401) 784-4902
Credentials & registration
- NPI registered
- June 2005 — 21 yrs on file
- Profile last updated
- May 16, 2018
- Specialty taxonomy
- 208000000X — NUCC code
- State licenses (2)
- North Carolina #2018-00348 · Rhode Island #MD07109
- Medicaid
- RI #9002176
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1144227729. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$460
Transactions
24
Manufacturers
10
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ironshore Pharmaceuticals INC. | 6 | $111.45 | |
| GlaxoSmithKline, LLC. | 4 | $78.73 | |
| Sanofi-Aventis U.S. LLC | 3 | $74.61 | |
| Corium, LLC | 3 | $61.93 | |
| Supernus Pharmaceuticals, INC. | 2 | $30.33 | |
| Pfizer INC. | 2 | $28.41 | |
| Tris Pharma INC | 1 | $23.97 | |
| Merck Sharp & Dohme LLC | 1 | $18.14 | |
| Acadia Pharmaceuticals INC | 1 | $17.88 | |
| Verrica Pharmaceuticals INC. | 1 | $14.87 |
By nature of payment
Frequently asked questions
What is Dr. Keivan Ettefagh's medical specialty?
Dr. Keivan Ettefagh practices Pediatrics Physician in Greensboro, NC.
Where does Dr. Keivan Ettefagh practice?
Dr. Keivan Ettefagh practices at 2707 Henry St, Greensboro, NC 27405. Office phone: 3365744280.
What is Dr. Keivan Ettefagh's NPI?
Dr. Keivan Ettefagh's National Provider Identifier (NPI) is 1144227729, issued by NPPES.