Kiyani, Michael Masood

Kiyani, Michael Masood is an sole proprietor health care provider with primary practice located at 5925 Iron Gate Trce , Cumming GA 30040-5801. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kiyani, Michael Masood can be contacted via phone (770) 888-8834.

Contact Information

Primary practice address
5925 Iron Gate Trce Cumming GA 30040-5801
Fax: (770) 888-8128
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN011700 Georgia

Profile Details

NPI number 1861557191
LBN Legal business name Kiyani, Michael Masood
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2006
Last updated Jan 17th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861557191 NPPES
Georgia MEDICAID 720526451A

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