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NPI Code Detail

MEDICARE: AADIL KAISANI DO

MEDICARE: AADIL KAISANI DO
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
1207R00000XInternal Medicine PhysicianU9561TX
2390200000XStudent in an Organized Health Care Education/Training Program
3207RN0300XNephrology PhysicianU9561TX

General Provider Information

NPI Number : 1487116737
Entity Type Code : Individual
Provider Name (Legal Business Name) : AADIL KAISANI DO
Provider Business Mailing Address
First Line : 2401 S 31ST ST # MS 01161B
Second Line :
City : TEMPLE
State : TX
Zip : 76508-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5940 CROSSLAKE PKWY
Second Line :
City : WACO
State : TX
Zip : 76712-6986
Country : US
Telephone Number : 254-666-8988
Fax Number : 254-666-6000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2019
Last Update Date : 07/23/2024

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