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NPI Code Detail

MEDICARE: KIAN ABOLHODA

MEDICARE: KIAN ABOLHODA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianMT236747PA

General Provider Information

NPI Number : 1013844885
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIAN ABOLHODA
Provider Business Mailing Address
First Line : 6272 SIERRA SIENA RD
Second Line :
City : IRVINE
State : CA
Zip : 92603-3925
Country : US
Telephone Number : 949-468-8354
Fax Number :
Provider Business Practice Location Address
First Line : 100 E LEHIGH AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19125-1012
Country : US
Telephone Number : 800-836-7536
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

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