Provider Demographics
NPI:1649302290
Name:TEHRANI, KAMI ATTARHAYE (DO)
Entity type:Individual
Prefix:DR
First Name:KAMI
Middle Name:ATTARHAYE
Last Name:TEHRANI
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 45263 5283
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5283
Mailing Address - Country:US
Mailing Address - Phone:859-905-3073
Mailing Address - Fax:859-441-1460
Practice Address - Street 1:1400 GRAND AVE
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:KY
Practice Address - Zip Code:41071-2570
Practice Address - Country:US
Practice Address - Phone:859-287-3045
Practice Address - Fax:859-441-1460
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02007459A207RC0000X
KY03330207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2837292Medicaid
KYP00920121OtherRR MEDICARE
KY710014370Medicaid
KYP400040665Medicare PIN
KY710014370Medicaid