Mehrad, Borna
Mehrad, Borna is an individual health care provider with primary practice located at 1600 Sw Archer Rd # 100225 , Gainesville FL 32610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Mehrad, Borna can be contacted via phone (352) 273-8740.Contact Information
Primary practice address
1600 Sw Archer Rd # 100225
Gainesville FL 32610
Phone: (352) 273-8740
Fax: (352) 273-9154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 0101240380 | Virginia |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME132544 | Florida |
Profile Details
| NPI number | 1164485892 |
|---|---|
| LBN Legal business name | Mehrad, Borna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Jun 11th, 2018 - about 6 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 | 1164485892 | NPPES |
| Other | JA388Z | MEDICARE PTAN | |
| MEDICAID | 021382400 | MEDICARE PTAN |
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