# GHOLAM A. KIANI

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

## Provider details

- **NPI number:** 1831406958
- **Authorized official:** DIANA J MILLIGAN (MANAGER)
- **Authorized official phone:** (956) 618-0634

## Contact information

- **Practice address:** 5007 S MCCOLL RD, EDINBURG, TX 78539-8080
- **Practice address phone:** (956) 618-0634
- **Practice address fax:** (956) 686-7471
- **Mailing address:** PO BOX 720206, MCALLEN, TX 78504-0206
- **Mailing address phone:** (956) 618-0634
- **Mailing address fax:** (956) 686-7471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | K6870 | TX | Yes |

## Other

- **Enumeration date:** 09/10/2010
- **Last updated:** 09/10/2010