Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kianoosh Dastan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124472261

Dr. Kianoosh Dastan, MD is an Internal Medicine in South Miami, Florida. Qualified in 2016, 10 years ago. Practices with South Miami Inpatient Physicians, a 88-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6200 SW 73rd St Ste 69
South Miami, FL 33143-4679
Phone: (786) 662-5465
Fax: (786) 662-5334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 Locust St, Pittsburgh, PA 15219-5114 — (412) 232-5533

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME140120 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124472261
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2016
Last updated in NPPESMay 24, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice South Miami Inpatient Physicians — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in South Miami