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Individual

KIAN BANIZAMAN LARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 MANNING DRIVE, ROOM 1017, CB # 7600, CHAPEL HILL, NC 27514
(783) 398-4974
Mailing address
1001 S CHURCH ST UNIT 105, GREENVILLE, SC 29601-3720
(864) 201-0015

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
LARI-TDU8S8
NC

Other

Enumeration date
04/27/2023
Last updated
04/27/2023
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