Provider Demographics
NPI:1659692663
Name:ASTANI, SEYED AMIN (MD, MBA)
Entity Type:Individual
Prefix:
First Name:SEYED AMIN
Middle Name:
Last Name:ASTANI
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Gender:M
Credentials:MD, MBA
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Other - Credentials:
Mailing Address - Street 1:PO BOX 860856
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55486-0856
Mailing Address - Country:US
Mailing Address - Phone:952-960-9399
Mailing Address - Fax:952-206-6467
Practice Address - Street 1:8401 GOLDEN VALLEY RD STE 340
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55427-4488
Practice Address - Country:US
Practice Address - Phone:952-960-9399
Practice Address - Fax:952-206-6467
Is Sole Proprietor?:No
Enumeration Date:2010-06-14
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN715552085R0204X
IL361404002085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology