Provider Demographics
NPI:1770995128
Name:TABA, KIANA (MD)
Entity type:Individual
Prefix:
First Name:KIANA
Middle Name:
Last Name:TABA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:320 SUPERIOR AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-2742
Mailing Address - Country:US
Mailing Address - Phone:949-438-3848
Mailing Address - Fax:949-438-3834
Practice Address - Street 1:320 SUPERIOR AVE STE 310
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-2742
Practice Address - Country:US
Practice Address - Phone:949-438-3848
Practice Address - Fax:949-438-3834
Is Sole Proprietor?:No
Enumeration Date:2014-05-20
Last Update Date:2025-10-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME128242207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology