Individual
DR. AMIR KICHLOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11938
ND
208M00000X
Hospitalist Physician
Primary
11938
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1450754
—
ND
Enumeration date
10/28/2008
Last updated
04/17/2023
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