Provider Demographics
NPI:1285490169
Name:GILANI, KIA (MD)
Entity type:Individual
Prefix:
First Name:KIA
Middle Name:
Last Name:GILANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:KIARASH
Other - Middle Name:
Other - Last Name:SALEHIGILANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PLACE BOX 1137 ONE GUSTAVE L. LEVY
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1468 MADISON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-241-6500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-27
Last Update Date:2025-05-27
Deactivation Date:2024-10-04
Deactivation Code:
Reactivation Date:2024-10-04
Provider Licenses
StateLicense IDTaxonomies
NY3369052084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology