Provider Demographics
NPI:1639145758
Name:BELANI, KIRAN K (MBBS MD)
Entity type:Individual
Prefix:
First Name:KIRAN
Middle Name:K
Last Name:BELANI
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Gender:F
Credentials:MBBS MD
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Mailing Address - Street 1:2910 CENTRE POINTE DR
Mailing Address - Street 2:35-121A, CHILDRENS HEALTH CARE
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113
Mailing Address - Country:US
Mailing Address - Phone:651-855-2109
Mailing Address - Fax:651-855-2310
Practice Address - Street 1:2525 CHICAGO AVENUE SOUTH
Practice Address - Street 2:CHILDRENS SPECIALTY CLINIC INFECTIOUS DISEASE MPLS
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404
Practice Address - Country:US
Practice Address - Phone:612-813-6777
Practice Address - Fax:612-813-5820
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2012-01-24
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Provider Licenses
StateLicense IDTaxonomies
MN27734208000000X, 2080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN293573200Medicaid
D82046Medicare UPIN