Mana Keihanian, MD | |
74 E Kimballs Ln Ste 330, Draper, UT 84020-5006 | |
(801) 266-3418 | |
(801) 266-4174 |
Full Name | Mana Keihanian |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 21 Years |
Location | 74 E Kimballs Ln Ste 330, Draper, Utah |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699079434 | NPI | - | NPPES |
7100310290 | Medicaid | KY | |
0108652 | Medicaid | OH | |
P01386215 | Other | KY | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 11488535-1205 (Utah) | Primary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 44433 (Kentucky) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Lone Peak Hospital | Draper, UT | Hospital |
St Mark's Hospital | Salt lake city, UT | Hospital |
Jordan Valley Medical Center | West jordan, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountainstar Cardiology St Marks Llc | 2961661855 | 32 |
Entity Name | Mountainstar Cardiology St Marks Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437446168 PECOS PAC ID: 2961661855 Enrollment ID: O20120313000497 |
Mailing Address | Practice Location Address |
---|---|
Mana Keihanian, MD Po Box 741729, Atlanta, GA 30374-1729 Ph: () - | Mana Keihanian, MD 74 E Kimballs Ln Ste 330, Draper, UT 84020-5006 Ph: (801) 266-3418 |
Philip Leonard Roberts, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 74 E Kimballs Ln Ste 300, Draper, UT 84020 Phone: 801-572-0311 Fax: 801-571-1369 | |
Dr. John Nicholas Soter, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 727 E Peak View Cir, Draper, UT 84020 Phone: 801-231-4289 | |
Pinky Kotwal, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 11724 S State St, Draper, UT 84020 Phone: 801-965-3600 | |
Garth James Muir, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 822 E Golden Pheasant Dr, Draper, UT 84020 Phone: 801-550-1121 Fax: 801-935-9555 | |
Mr. Andrew Charles Behunin, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 74 E Kimballs Ln Ste 260, Draper, UT 84020 Phone: 801-266-3418 | |
Dr. Cynthia Rose Canga-siao, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 74 E Kimballs Ln Ste 300, Draper, UT 84020 Phone: 801-572-0311 Fax: 801-571-1363 |