MEDICARE: DR. ARASH GHASSEMI PASHA MD

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
1	208M00000X	Hospitalist Physician	C202110	CA
2	207R00000X	Internal Medicine Physician	MD446234	PA
3	208M00000X	Hospitalist Physician	ME118166	FL
4	208M00000X	Hospitalist Physician	MD446234	PA
5	207R00000X	Internal Medicine Physician	ME118166	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780828095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARASH GHASSEMI PASHA MD

Provider Business Mailing Address
First Line	:	7075 N US HIGHWAY 1 STE 150
Second Line	:
City	:	PORT ST JOHN
State	:	FL
Zip	:	32927-5223
Country	:	US
Telephone Number	:	321-268-6264
Fax Number	:	321-268-6360

Provider Business Practice Location Address
First Line	:	951 N WASHINGTON AVE
Second Line	:	PARRISH MEDICAL CENTER. HOSPITALIST DEPT
City	:	TITUSVILLE
State	:	FL
Zip	:	32796-2163
Country	:	US
Telephone Number	:	321-268-6111
Fax Number	:	321-268-6360

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2009
Last Update Date	:	01/21/2026

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