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NPI Code Detail

MEDICARE: DR. JAWAD GHAZANFAR KIANI M.D.

MEDICARE: DR. JAWAD GHAZANFAR KIANI M.D.
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
1207RC0000XCardiovascular Disease Physician036148354IL

General Provider Information

NPI Number : 1588975544
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAWAD GHAZANFAR KIANI M.D.
Provider Business Mailing Address
First Line : 3121 S MARYLAND PKY
Second Line : SUITE 512
City : LAS VEGAS
State : NV
Zip : 89109
Country : US
Telephone Number : 702-796-7150
Fax Number : 702-796-9071
Provider Business Practice Location Address
First Line : 3201 S MARYLAND PKWY STE 400
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2426
Country : US
Telephone Number : 702-796-7150
Fax Number : 702-796-9071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2010
Last Update Date : 07/18/2024

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