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General NPI Number Information
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NPI Number | 1831129006
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Entity Type | Individual
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Provider Name | HEIDAR ARJOMAND-FARD M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 01/16/2018
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Provider Practice Location Address
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Address Line | 21097 NE 27TH CT STE 480
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City | AVENTURA
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State | FL
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Zip | 33180-1204
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Country | US
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Telephone | 786-428-1059
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Fax | 786-428-1062
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Provider Business Mailing Address
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Address Line | 21097 NE 27TH CT STE 480
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City | AVENTURA
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State | FL
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Zip | 33180-1204
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Country | US
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Telephone | 786-428-1059
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Fax | 786-428-1062
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 016525
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 12331
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME110426
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | C55809
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License Number State | CA
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