Provider Demographics
NPI:1780111716
Name:KIANI, RABIA N (MBBS)
Entity type:Individual
Prefix:
First Name:RABIA
Middle Name:N
Last Name:KIANI
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 N 2030 E RM 2110
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84112-5339
Mailing Address - Country:US
Mailing Address - Phone:801-587-9650
Mailing Address - Fax:605-357-1365
Practice Address - Street 1:15 N 2030 E RM 2110
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84112-5339
Practice Address - Country:US
Practice Address - Phone:801-587-9650
Practice Address - Fax:605-357-1365
Is Sole Proprietor?:No
Enumeration Date:2017-05-22
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12404179-1205207RE0101X
OH57.250719390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program