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General NPI Number Information
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NPI Number | 1831054741
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Entity Type | Organization
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Legal Business Name | SANOVA PULMONARY PLLC
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Dates
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Enumeration Date | 12/23/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 15883 N ORACLE RD
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City | TUCSON
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State | AZ
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Zip | 85739-9202
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Country | US
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Telephone | 520-614-3492
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Fax | 520-363-6153
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Provider Business Mailing Address
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Address Line | 7959 N THORNYDALE RD # 89520
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City | TUCSON
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State | AZ
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Zip | 85741-1443
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Country | US
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Telephone | 520-614-3492
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Fax | 520-363-6153
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Authorized Official
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Title or Position | OWNER
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Name | KIYAN RAD
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Credential | D.O
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Telephone | 520-201-6990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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