Raissi-Fard, Ehteram

Raissi-Fard, Ehteram is an individual health care provider with primary practice located at 758 N Sun Dr , Lake Mary FL 32746-2599. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Raissi-Fard, Ehteram can be contacted via phone (407) 333-2809.

Contact Information

Primary practice address
758 N Sun Dr Lake Mary FL 32746-2599
Phone: (407) 333-2809
Fax: (407) 333-2870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME78139 Florida

Profile Details

NPI number 1588650576
LBN Legal business name Raissi-Fard, Ehteram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
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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