Individual
KIRAN MIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
12 W 21ST ST FL 6, NEW YORK, NY 10010-6914
(212) 343-2222
Mailing address
483 10 AVENUE, SUITE 310, NEW YORK, NY 10018
(917) 970-9100
(917) 970-9200
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
714
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
294165-1
MEDICAL LICENSE
NY
01
—
714
LICENSE
IL
Enumeration date
06/12/2015
Last updated
06/14/2022
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