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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ATABAK ASVADI KERMANI, MD

Active

DR. ATABAK ASVADI KERMANI, MD is a Geriatric Medicine healthcare provider located in LEAVENWORTH, Kansas. NPI 1407383870 is currently active in the NPPES registry. Verify at CMS.

Geriatric Medicine · LEAVENWORTH, KS

Registration Details

NPI Number
1407383870
Provider Type
Individual
Gender
Male
NPI Issued
May 17, 2017 (9.2696585057984 yrs)
Last Updated
Jan 28, 2025
Licenses
MD-46501 (IA)
04-45327 (KS)
2021045661 (MO)

Practice Information

Address
3500 S 4TH ST
LEAVENWORTH, KS, 660485043
Browse KS providers · Browse ZIP 66048
Phone
9136806000
Primary Specialty
Geriatric Medicine
207QG0300X
Additional Specialty
Geriatric Medicine
Additional Specialty
Geriatric Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.