Provider Demographics
NPI:1457483331
Name:KIRMANI, KHAVER INAM (MD)
Entity Type:Individual
Prefix:
First Name:KHAVER
Middle Name:INAM
Last Name:KIRMANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:300 W CLARENDON AVE STE 375
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-3476
Mailing Address - Country:US
Mailing Address - Phone:602-277-6141
Mailing Address - Fax:602-266-2011
Practice Address - Street 1:300 W CLARENDON AVE
Practice Address - Street 2:STE 375
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-3476
Practice Address - Country:US
Practice Address - Phone:602-277-6141
Practice Address - Fax:602-266-2011
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ366972080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine