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HOUMAN KIANI M.D

Physicians General Practice

Provider NPI: 1760463566

Provider Information:
 HOUMAN  KIANI M.D
Gender: M
Sole Proprietor

Practice Location:
4902 E THOMPSON RD  INDIANAPOLIS, IN 46237-1905 US
Tel: 317-786-1888  Fax: 317-786-1889

Business Mailing Address:
4370 BRITTANY DR  ZIONSVILLE, IN 46077-8223 US
Tel: 317-405-8044  Fax: --

NPI Information:
NPI: 1760463566
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208D00000XPhysicians
General Practice
IN01042881
N207UN0902XPhysicians
Nuclear Medicine
IN01042881
N207P00000XPhysicians
Emergency Medicine
IN01042881A

Other Provider Identifiers:

IssuerNumberStateType
200007060IN05
MEDICARE NUMBERM100047140IN01



American Medical Association 2012 taxonomy code information

Code: 208D00000X

Type:

Classification:



Definition:



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