Kiankhooy Fard, Banafsheh

Kiankhooy Fard, Banafsheh is an individual health care provider with primary practice located at 2780 Cleveland Ave Ste 709 , Fort Myers FL 33901-5857. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Kiankhooy Fard, Banafsheh can be contacted via phone (239) 343-3831.

Contact Information

Primary practice address
2780 Cleveland Ave Ste 709 Fort Myers FL 33901-5857
Phone: (239) 343-3831
Fax: (239) 343-2301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ME119702 Florida

Profile Details

NPI number 1174819395
LBN Legal business name Kiankhooy Fard, Banafsheh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2011
Last updated May 17th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174819395 NPPES
Florida Other ME119702 LICENSE

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