Individual
KIAN KAVIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10215 FERNWWOD RD, SUITE 315, BETHESDA, MD 20817
(301) 493-6578
(301) 493-9282
Mailing address
10215 FERNWWOD RD, SUITE 315, BETHESDA, MD 20817
(301) 493-6578
(301) 493-9282
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0055938
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090804500
—
MD
01
—
0K88K
BLUE CROSS BLUE SHIELD
MD
01
—
287102
MAMSI APO
—
01
—
887102
MAMSI HMO
—
Enumeration date
06/17/2006
Last updated
05/27/2008
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