Individual
DR. SHAMAS CHUNGEZ KIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MEDICAL PARK BLVD, 200 MEDICAL PARK BLVD. ., PETERSBURG, VA 23805-2380
(804) 586-1431
Mailing address
13575 HILARY PATH, HASTINGS, MN 55033-9574
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101265203
VA
207L00000X
Anesthesiology Physician
Primary
291096-1
NY
207L00000X
Anesthesiology Physician
31239
OK
207L00000X
Anesthesiology Physician
60479
MN
207L00000X
Anesthesiology Physician
MD-39576
IA
207L00000X
Anesthesiology Physician
ME130943
FL
207L00000X
Anesthesiology Physician
R1974
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285929653
WELLMARK
IA
05
—
1285929653
—
IA
01
—
421417307-VA
UHC-RV
IA
Enumeration date
06/14/2011
Last updated
08/15/2022
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