Mirsajadi, Abdol A

Mirsajadi, Abdol A is an sole proprietor health care provider with primary practice located at 1275 S Patrick Dr Suite C, Satellite Beach FL 32937-3963. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mirsajadi, Abdol A can be contacted via phone (321) 779-9838.

Contact Information

Primary practice address
1275 S Patrick Dr Suite C Satellite Beach FL 32937-3963
Phone: (321) 779-9838
Fax: (321) 779-4502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME 40362 Florida

Profile Details

NPI number 1235196080
LBN Legal business name Mirsajadi, Abdol A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Jul 8th, 2007 - about 17 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 1235196080 NPPES
Florida Other 15843 BCBS

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