Individual
DR. ATABAK ASVADI KERMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD-46501
IA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
04-45327
KS
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
2021045661
MO
Other
Enumeration date
05/17/2017
Last updated
01/28/2025
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