Organization
GHOLAM A. KIANI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHOLAM A KIANI M.D. (OWNER)
(956) 803-0401
Entity
Organization
Contact information
Practice address
5121 N JACKSON RD STE 10, MCALLEN, TX 78504-6758
(956) 803-0401
(956) 322-5739
Mailing address
PO BOX 720206, MCALLEN, TX 78504-0206
(956) 803-0401
(956) 322-5739
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K6870
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00138H
PTAN
TX
01
—
00138HAB8K
PTAN
—
05
—
148513802
—
TX
05
—
148513805
—
TX
05
—
375959901
—
TX
01
—
45D1006440
CLIA
TX
01
—
581883
PTAN
TX
Enumeration date
05/21/2014
Last updated
04/07/2026
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