Nasserzare, Jahanbakhsh

Nasserzare, Jahanbakhsh is an sole proprietor health care provider with primary practice located at 1380 Ne Miami Gardens Dr Ste 140 , North Miami Beach FL 33179-4744. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Nasserzare, Jahanbakhsh can be contacted via phone (305) 940-0064.

Contact Information

Primary practice address
1380 Ne Miami Gardens Dr Ste 140 North Miami Beach FL 33179-4744
Phone: (305) 940-0064
Fax: (305) 940-0066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME 102604 Florida

Profile Details

NPI number 1164632550
LBN Legal business name Nasserzare, Jahanbakhsh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Mar 30th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164632550 NPPES
Florida MEDICAID 002467900
Florida MEDICAID 010587700

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