Individual
KAVEH KARDOONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2020 PALOMINO LN, # 100, LAS VEGAS, NV 89106-4894
(702) 759-8600
(702) 384-1815
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(702) 759-8600
(702) 384-1815
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
257031
NY
2085R0202X
Diagnostic Radiology Physician
52263
MN
2085R0202X
Diagnostic Radiology Physician
Primary
DO1608
NV
2085R0202X
Diagnostic Radiology Physician
R0965
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03227790
—
NY
05
—
1558492124
—
CA
05
—
1558492124
—
NV
05
—
200468650A
—
OK
05
—
300005425
—
MN
05
—
624236
—
AZ
05
—
ENROLLED
—
IA
01
—
P01168761
RR MEDICARE
NV
Enumeration date
03/08/2007
Last updated
03/29/2024
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