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NPI Code Detail

MEDICARE: FARDA BARANDEH PA

MEDICARE: FARDA BARANDEH PA
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1588024954
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARDA BARANDEH PA
Provider Business Mailing Address
First Line : 9500 S DADELAND BLVD STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33156-2866
Country : US
Telephone Number : 785-530-3820
Fax Number : 305-675-3378
Provider Business Practice Location Address
First Line : 1939 ROLAND CLARKE PL STE 200
Second Line :
City : RESTON
State : VA
Zip : 20191-1445
Country : US
Telephone Number : 703-766-2650
Fax Number : 703-766-2654
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/29/2016
Last Update Date : 05/14/2024

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Directions to “ FARDA BARANDEH PA” Practice Location

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