Healthcare Provider Details

I. General information

NPI: 1679952071
Provider Name (Legal Business Name): POUYAN DANIEL ARMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2015
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 W 110TH ST STE 200
OVERLAND PARK KS
66211-1215
US

IV. Provider business mailing address

5100 W 110TH ST STE 200
OVERLAND PARK KS
66211-1215
US

V. Phone/Fax

Practice location:
  • Phone: 816-523-7088
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number079173
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number2025028970
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number036161132
License Number StateIL
# 5
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number4301508057
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: