Individual
DR. SOROOSH KIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3452
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
74100
GA
207RC0000X
Cardiovascular Disease Physician
Primary
292387
MA
207RC0000X
Cardiovascular Disease Physician
74100
GA
207RC0001X
Clinical Cardiac Electrophysiology Physician
292387
MA
207RC0001X
Clinical Cardiac Electrophysiology Physician
74100
GA
Other
Enumeration date
07/03/2011
Last updated
06/17/2022
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