MEDICARE: DR. KAVEH SANEI KASHANI D.O.

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
1	207R00000X	Internal Medicine Physician	DO2074	NV

General Provider Information

NPI Number	:	1235343211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAVEH SANEI KASHANI D.O.

Provider Business Mailing Address
First Line	:	7155 S RAINBOW BLVD STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3271
Country	:	US
Telephone Number	:	702-840-4848
Fax Number	:

Provider Business Practice Location Address
First Line	:	7155 S RAINBOW BLVD STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3271
Country	:	US
Telephone Number	:	702-840-4848
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	05/05/2020

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