Badizadegan, Kamran
Badizadegan, Kamran is an sole proprietor health care provider with primary practice located at 12252 Montalcino Cir , Windermere FL 34786-5672. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Pediatric Pathology, Allopathic & Osteopathic Physicians / Clinical Informatics. Allopathic & Osteopathic Physicians / Clinical Informatics is his primary health care specialty. Badizadegan, Kamran can be contacted via phone (617) 680-4215.Contact Information
Primary practice address
12252 Montalcino Cir
Windermere FL 34786-5672
Phone: (617) 680-4215
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Pathology | 207ZC0006X | S99264 | Florida |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 35.129581 | Ohio |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 111484 | Florida |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 97007 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Pathology | 207ZP0213X | 111484 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Pathology | 207ZP0213X | 35.129581 | Ohio |
| Allopathic & Osteopathic Physicians / Clinical Informatics | 207ZC0008X | 111484 | Florida |
Profile Details
| NPI number | 1972585586 |
|---|---|
| LBN Legal business name | Badizadegan, Kamran |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Aug 19th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972585586 | NPPES |
| Massachusetts | Other | 766417 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 3165698 | TUFTS HEALTH PLAN |
| Massachusetts | Other | H506762 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J17701 | TUFTS HEALTH PLAN |
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