Individual
DR. MOHAMED A KIRDANI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
980 WILLOW CREEK RD, PRESCOTT, AZ 86301-1611
(928) 443-0077
(928) 443-0019
Mailing address
PO BOX 27340, PHOENIX, AZ 85061-7340
(602) 943-9200
(602) 216-3000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
5764
AZ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
5764
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239857
—
AZ
Enumeration date
04/07/2006
Last updated
09/11/2025
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