Individual
BABAK KAVIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
4131 SPICEWOOD SPRINGS RD STE K1, AUSTIN, TX 78759-8600
(512) 394-5108
(512) 394-5109
Mailing address
PO BOX 91674, AUSTIN, TX 78709-1674
(512) 394-5108
(512) 394-5109
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1854
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1854
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2129157
—
TX
05
—
2129165
—
TX
01
—
70159751
DPS
TX
01
—
POO832863
RAILROAD MEDICARE
TX
Enumeration date
09/19/2007
Last updated
01/16/2024
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