Individual
ALI REZA KAVIANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
036130202
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A391620
—
CA
Enumeration date
07/18/2005
Last updated
08/24/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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