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Individual
KAVEH ARDALAN
Active
Individual
KAVEH ARDALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036138461
IL
2080P0216X
Pediatric Rheumatology Physician
036138461
IL
2080P0216X
Pediatric Rheumatology Physician
Primary
2019-01752
NC
Other
Enumeration date
07/25/2011
Last updated
06/09/2023
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