Provider Demographics
NPI:1588975544
Name:KIANI, JAWAD GHAZANFAR (MD)
Entity type:Individual
Prefix:DR
First Name:JAWAD
Middle Name:GHAZANFAR
Last Name:KIANI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3121 S MARYLAND PKY
Mailing Address - Street 2:SUITE 512
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109
Mailing Address - Country:US
Mailing Address - Phone:702-796-7150
Mailing Address - Fax:702-796-9071
Practice Address - Street 1:3201 S MARYLAND PKWY STE 400
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2426
Practice Address - Country:US
Practice Address - Phone:702-796-7150
Practice Address - Fax:702-796-9071
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-24
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036148354207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease