Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DS028155L | PA |
NPI | 1114952959 |
---|---|
Provider Name | Dr. Maryam A. Chiani |
First Address | Mount Lebanon, PA 15228-2819 |
Second Address | Mount Lebanon, PA 15228-2819 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 30/08/2012 |