# HOUMAN KIANI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1760463566
- **Gender:** Man
- **Credential:** M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 01042881A | IN | — |
| 207UN0902X | Nuclear Imaging & Therapy Physician | 01042881 | IN | — |
| 208D00000X | General Practice Physician | 01042881 | IN | Yes |

## Other

- **Enumeration date:** 11/08/2005
- **Last updated:** 04/29/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200007060 | — | IN |
| 01 | — | M100047140 | MEDICARE NUMBER | IN |