Kirdani, Mohamed A

Kirdani, Mohamed A is an individual health care provider with primary practice located at 980 Willow Creek Rd , Prescott AZ 86301-1611. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Kirdani, Mohamed A can be contacted via phone (928) 443-0077.

Contact Information

Primary practice address
980 Willow Creek Rd Prescott AZ 86301-1611
Phone: (928) 443-0077
Fax: (928) 443-0019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5764 Arizona
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 5764 Arizona

Profile Details

NPI number 1639132095
LBN Legal business name Kirdani, Mohamed A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jul 13th, 2026 - about 3 months 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 1639132095 NPPES
Arizona MEDICAID 239857

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