Zendehrouh, Pedram

Zendehrouh, Pedram is an individual health care provider with primary practice located at 951 N Washington Ave Parrish Wound Healing Center, Titusville FL 32796-2163. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Zendehrouh, Pedram can be contacted via phone (321) 268-6795.

Contact Information

Primary practice address
951 N Washington Ave Parrish Wound Healing Center Titusville FL 32796-2163
Phone: (321) 268-6795
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2004016404 Missouri
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 2004016404 Missouri

Profile Details

NPI number 1679641708
LBN Legal business name Zendehrouh, Pedram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jan 26th, 2015 - about 10 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 1679641708 NPPES
Missouri Other 431560263006 TRICARE
Missouri Other P00195701 TRICARE
Missouri MEDICAID 209022003 TRICARE

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