Individual
MR. CYRUS KIYANFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1125 MARGUERITE ST, MORGAN CITY, LA 70380-1855
(985) 384-2200
(985) 380-4545
Mailing address
PO BOX 51163, LAFAYETTE, LA 70505-1163
(985) 384-2200
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
03410
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558397
—
LA
Enumeration date
06/07/2006
Last updated
03/28/2008
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