Individual
MINOO N KAVARANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
32973
SC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
32973
SC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
37044
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000377926
ANTHEM PROVIDER #
KY
01
—
030670000
BLACK LUNG
KY
01
—
50006567
PASSPORT HEALTH PLAN
KY
01
—
61-1427889
HUMANA
KY
05
—
64099567
—
KY
01
—
C40884
CUMBERLAND HEALTHCARE INC
KY
01
—
P00333912
RRMCR
KY
Enumeration date
02/15/2006
Last updated
07/19/2010
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