# SANOVA PHYSICAL MEDICINE PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255295994
- **Authorized official:** KIYAN RAD DO (OWNER)
- **Authorized official phone:** (520) 201-6990

## Contact information

- **Practice address:** 5983 E GRANT RD STE 101, TUCSON, AZ 85712-2366
- **Practice address phone:** (520) 436-5198
- **Practice address fax:** (520) 363-6153
- **Mailing address:** PO BOX 89520, TUCSON, AZ 85752-9520
- **Mailing address phone:** (520) 436-5198
- **Mailing address fax:** (520) 363-6153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2025
- **Last updated:** 08/16/2026