Individual provider · Type 1 NPI
Mark Basha Keroles, MD
Clinical Neurophysiology Physician · Rancho Palos Verdes, CA
Practice location
30051 Grandpoint Ln
Rancho Palos Verdes, CA 90275-6425
Mailing address
2915 W Bitters Rd Ste 201
San Antonio, TX 78248-2007
Other practice locations
- 400 N Ashley Dr, Tampa, FL 33602-4300 · (484) 351-8459
- 13401 Railway Dr, Oklahoma City, OK 73114-2272 · (484) 351-8459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Neurophysiology Physician Primary | 2084N0600X | A187307 (CA) |
| Clinical Neurophysiology Physician | 2084N0600X | 46213 (OK) |
Clinical Neurophysiology Physician: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
About NPI 1548898554
Mark Basha Keroles, MD's National Provider Identifier is 1548898554, issued on Mar 27, 2020. The primary taxonomy on file is Clinical Neurophysiology Physician (2084N0600X), and the practice location is in Rancho Palos Verdes, CA. The record was last updated on May 19, 2026.