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General NPI Number Information
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NPI Number | 1770534869
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Entity Type | Individual
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Provider Name | AMIR HEDAYATI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 1401 W SEMINOLE BLVD
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City | SANFORD
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State | FL
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Zip | 32771-6737
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Country | US
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Telephone | 516-445-8409
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Fax |
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Provider Business Mailing Address
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Address Line | 2801 ATLANTIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90806
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Country | US
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Telephone | 562-933-1550
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Fax | 562-933-8088
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A94491
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License Number State | CA
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