MEDICARE: FOAD KIAMANESH 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
1	207R00000X	Internal Medicine Physician	P4193	TX
2	208M00000X	Hospitalist Physician	P4193	TX

General Provider Information

NPI Number	:	1790073674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FOAD KIAMANESH M.D.

Provider Business Mailing Address
First Line	:	1400 N COIT RD STE 1401
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-6660
Country	:	US
Telephone Number	:	469-425-2659
Fax Number	:	469-640-9042

Provider Business Practice Location Address
First Line	:	1400 N COIT RD STE 1401
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-6660
Country	:	US
Telephone Number	:	469-425-2659
Fax Number	:	469-640-9042

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

Provider Enumeration Date	:	07/13/2011
Last Update Date	:	08/21/2025

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Directions to “ FOAD KIAMANESH M.D.” Practice Location

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