DR. Kianoosh Dastan, M.D.

NPI #1124472261 in South Miami, Florida

Provider Information

NPI Number: 1124472261
Entity Type: Individual
Name: DR. Kianoosh Dastan, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Apr 14, 2016
Last Updated: May 24, 2019

Practice Location

Address: 6200 SW 73RD ST STE 69
City: South Miami
State: Florida
ZIP Code: 33143-4679
Phone: (786) 662-5465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Internal Medicine	207R00000X	Primary

Additional Practice Locations

1400 Locust St

Suite 10517

Pittsburgh, PA, 15219-5114

(412) 232-5533

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