Individual provider · Type 1 NPI

Kevin Kian Mohseni Mofidi, MD

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1740123074 Active

Practice location

2601 E Roosevelt St
Phoenix, AZ 85008-4973

Call (602) 812-4312 Map

Mailing address

3100 N Central Ave Fl 7
Phoenix, AZ 85012-2637

Other practice locations

  • 350 W Thomas Rd, Phoenix, AZ 85013-4496 · (602) 812-4312
  • 1919 E Thomas Rd, Phoenix, AZ 85016-7710 · (602) 812-4312

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740123074

Kevin Kian Mohseni Mofidi, MD's National Provider Identifier is 1740123074, issued on Apr 11, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 11, 2026.