Provider Demographics
NPI:1154403509
Name:KIANI, DARIA (MD)
Entity type:Individual
Prefix:DR
First Name:DARIA
Middle Name:
Last Name:KIANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:14555 LEVAN RD
Mailing Address - Street 2:SUITE 409
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-5083
Mailing Address - Country:US
Mailing Address - Phone:734-462-4070
Mailing Address - Fax:734-462-6370
Practice Address - Street 1:14555 LEVAN RD
Practice Address - Street 2:SUITE 409
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-5083
Practice Address - Country:US
Practice Address - Phone:734-462-4070
Practice Address - Fax:734-462-6370
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301034859207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIA76244Medicare UPIN