# DR. SAHBA FERDOWSI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1508021411
- **Gender:** Man
- **Credential:** D.O

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 10297 | FL | — |
| 207Q00000X | Family Medicine Physician | 10297 | FL | — |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | 10297 | FL | — |
| 207QA0505X | Adult Medicine Physician | 10297 | FL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | 10297 | FL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | 10297 | FL | — |
| 2083S0010X | Sports Medicine (Preventive Medicine) Physician | 10297 | FL | — |
| 208D00000X | General Practice Physician | 10297 | FL | Yes |

## Other

- **Enumeration date:** 07/21/2008
- **Last updated:** 12/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1245413194 | GROUP NPI | FL |
| 01 | — | 260832046 | TAX ID | FL |