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NPI Code Detail

MEDICARE: SASHA GHOFRANI DO

MEDICARE: SASHA GHOFRANI DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1427984327
Entity Type Code : Individual
Provider Name (Legal Business Name) : SASHA GHOFRANI DO
Provider Business Mailing Address
First Line : 16393 MANGROVE ISLAND AVE APT 207
Second Line :
City : LAND O LAKES
State : FL
Zip : 34638-6256
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6600 MADISON ST
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34652-1971
Country : US
Telephone Number : 727-842-8468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2026
Last Update Date : 06/19/2026

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Directions to “ SASHA GHOFRANI DO” Practice Location

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