IndividualActive
Mohamed Kirdani, M.D.
NPI 1639132095 · Vascular & Interventional Radiology Physician · Prescott, AZ
Provider details
- NPI number
- 1639132095
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- License
- 5764 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
980 Willow Creek Rd
Prescott, AZ 86301-1611
Phone: (928) 443-0077
Fax: (928) 443-0019
Street-level locationGet directions
Mailing address
Po Box 27340
Phoenix, AZ 85061-7340
Registry dates
- Enumerated
- 2006-04-07
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.