Provider Demographics
NPI:1316380934
Name:KAVAND, SIMA (MD)
Entity Type:Individual
Prefix:
First Name:SIMA
Middle Name:
Last Name:KAVAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:516 E BYRON NELSON BLVD UNIT 1638
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:TX
Mailing Address - Zip Code:76262-6269
Mailing Address - Country:US
Mailing Address - Phone:214-337-6362
Mailing Address - Fax:214-337-6329
Practice Address - Street 1:255 W LEBANON STE 208
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75036-3404
Practice Address - Country:US
Practice Address - Phone:972-468-9999
Practice Address - Fax:972-981-3600
Is Sole Proprietor?:No
Enumeration Date:2013-04-12
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN61093207R00000X
TXT4945207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine