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General NPI Number Information
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NPI Number | 1255145389
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Entity Type | Organization
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Legal Business Name | KIRAN MD LLC
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 4465 NARROW LANE RD
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City | MONTGOMERY
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State | AL
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Zip | 36116-2953
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Country | US
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Telephone | 334-284-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 8649 LILLIAN PL
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City | MONTGOMERY
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State | AL
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Zip | 36117-7558
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | PREET KIRAN
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Credential | MD
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Telephone | 706-231-6111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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