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NPI Code Detail

MEDICARE: DR. KIARASH L MIRKIA MD

MEDICARE:  DR. KIARASH L MIRKIA  MD
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
1208600000XSurgery Physician12548NV
22086S0102XSurgical Critical Care Physician12548NV

General Provider Information

NPI Number : 1063420701
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIARASH L MIRKIA MD
Provider Business Mailing Address
First Line : 5875 S RAINBOW BLVD
Second Line : STE 201
City : LAS VEGAS
State : NV
Zip : 89118
Country : US
Telephone Number : 702-889-6292
Fax Number : 702-979-9055
Provider Business Practice Location Address
First Line : 5875 S RAINBOW BLVD STE 201
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-2556
Country : US
Telephone Number : 702-453-3799
Fax Number : 702-453-5741
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 05/15/2017

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Directions to “ DR. KIARASH L MIRKIA MD” Practice Location

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