Provider Demographics
NPI:1538214408
Name:GILANI, DURDANA (MD)
Entity type:Individual
Prefix:DR
First Name:DURDANA
Middle Name:
Last Name:GILANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:DUDANA
Other - Middle Name:
Other - Last Name:GILANI-KHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:624 W DUARTE RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7603
Mailing Address - Country:US
Mailing Address - Phone:626-294-2070
Mailing Address - Fax:626-294-2076
Practice Address - Street 1:624 W DUARTE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7603
Practice Address - Country:US
Practice Address - Phone:626-294-2070
Practice Address - Fax:626-294-2076
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA31993207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD19503Medicare UPIN