Kianoosh Dastan (NPI# 1124472261, PAC ID# 2062707946) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1124472261 |
| PAC ID by PECOS | 2062707946 |
| Professional Enrollment ID | I20191025000876 |
| Full Name | Kianoosh Dastan |
| Organization Legal Name | SOUTH MIAMI INPATIENT PHYSICIANS |
| Address |
6200 Sw 73rd St Box 69 Miami FL 33143-4679 |
| Phone Number | 7866624000 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2567429483 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100154 | SOUTH MIAMI HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6200 Sw 73rd St, Box 69, Miami, FL 33143-4679 | 7866624000 | SOUTH MIAMI INPATIENT PHYSICIANS |
| Organization Legal Name | SOUTH MIAMI INPATIENT PHYSICIANS |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor Manuel Calvo | Internal Medicine | South Miami Inpatient Physicians | 6200 Sw 73rd St, Box 69, Miami, FL 33143-4679 |
| Piya Suryadevara | Hospitalist | South Miami Inpatient Physicians | 6200 Sw 73rd St, Box 69, Miami, FL 33143-4679 |
| Sudeep Singh | Family Medicine | South Miami Inpatient Physicians | 6200 Sw 73rd St, Box 69, Miami, FL 33143-4679 |
| Karina Alas | Nurse Practitioner | South Miami Inpatient Physicians | 6200 Sw 73rd St, Box 69, Miami, FL 33143-4679 |
| Antonio Murtinho | Internal Medicine | South Miami Inpatient Physicians | 6200 Sw 73rd St, Box 69, Miami, FL 33143-4679 |
| Mary Massieu | Nurse Practitioner | South Miami Inpatient Physicians | 6200 Sw 73rd St, Box 69, Miami, FL 33143-4679 |
| Amreen Fateema Quadir | Internal Medicine | South Miami Inpatient Physicians | 6200 Sw 73rd St, Box 69, Miami, FL 33143-4679 |
| Sankarabharan Kanikireddy | Internal Medicine | South Miami Inpatient Physicians | 6200 Sw 73rd St, Box 69, Miami, FL 33143-4679 |
| Ariel Moses | Internal Medicine | South Miami Inpatient Physicians | 6200 Sw 73rd St, Box 69, Miami, FL 33143-4679 |
| Sandra Krauthamer | Internal Medicine | South Miami Inpatient Physicians | 6200 Sw 73rd St, Box 69, Miami, FL 33143-4679 |
| Street Address |
6200 SW 73RD ST BOX 69 |
| City | MIAMI |
| State | FL |
| Zip | 33143-4679 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor Manuel Calvo | Internal Medicine | South Miami Inpatient Physicians | 6200 Sw 73rd St, Box 69, Miami, FL 33143-4679 |
| Piya Suryadevara | Hospitalist | South Miami Inpatient Physicians | 6200 Sw 73rd St, Box 69, Miami, FL 33143-4679 |
| Joshua A Harris | Cardiovascular Disease (cardiology) | Cardiovascular Medicine Associates Pa | 6200 Sw 73rd St, South Miami Hospital, South Miami, FL 33143-4679 |
| Sudeep Singh | Family Medicine | South Miami Inpatient Physicians | 6200 Sw 73rd St, Box 69, Miami, FL 33143-4679 |
| Karina Alas | Nurse Practitioner | South Miami Inpatient Physicians | 6200 Sw 73rd St, Box 69, Miami, FL 33143-4679 |
| Matthew E Snow | Cardiovascular Disease (cardiology) | Cardiovascular Medicine Associates Pa | 6200 Sw 73rd St, South Miami Hospital, South Miami, FL 33143-4679 |
| Vincent G Conte | Anesthesiology | Anesthesia Associates of Greater Miami, Pa | 6200 Sw 73rd St, South Miami Hospital, South Miami, FL 33143-4679 |
| Antonio Murtinho | Internal Medicine | South Miami Inpatient Physicians | 6200 Sw 73rd St, Box 69, Miami, FL 33143-4679 |
| Mary Massieu | Nurse Practitioner | South Miami Inpatient Physicians | 6200 Sw 73rd St, Box 69, Miami, FL 33143-4679 |
| Felipe Antonio Del Valle | Internal Medicine | 6200 Sw 73rd St, South Miami Hospital, South Miami, FL 33143-4679 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose A Guerra-valencia | Psychiatry | Advanced Multispecialty Medical Services LLC | 7031 Sw62nd Ave, Suite 4, South Miami, FL 33143 |
| Thomas R Maurno | Chiropractic | 5901 Sw74th St, Suite 209, South Miami, FL 33143 | |
| Orlando A Puente | General Surgery | 7400 Sw 62nd Ave, Miami, FL 33143 | |
| Carey Green | Cardiovascular Disease (cardiology) | 7000 Sw62nd Ave, Suite 520, South Miami, FL 33143 | |
| Xiomara Sampedro | General Practice | Advanced Multispecialty Medical Services LLC | 7031 Sw62nd Ave, Suite 4, South Miami, FL 33143 |
| Argelia D Galvez | Internal Medicine | 6240 Sw 85th Ave, Miami, FL 33143-1540 | |
| Erik Antony Cabrera | Psychiatry | Advanced Multispecialty Medical Services LLC | 6140 Sw70th St, Suite 2, South Miami, FL 33143-3419 |
| Alberto J Sabucedo | Internal Medicine | 6140 Sw 70th St, Fl 2, South Miami, FL 33143-3419 | |
| Carlos J Dominguez | Hematology/oncology | 6140 Sw 70 St, 200 Larkin Multispecialty Clinic, South Miami, FL 33143-3419 | |
| Christine R Marambio | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Greater Miami, Pa | 6110 Sw 70th St, South Florida Surgery Center, Miami, FL 33143-3419 |
| Find all physicians in zip 33143 | |||
| City | MIAMI |
| Zip Code | 33143 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MIAMI + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kianoosh Dastan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.