Individual
HOUTAN SAREH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16420 HEALTHPARK COMMONS DR, FORT MYERS, FL 33908-9621
(239) 985-1925
(239) 321-6044
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 985-1925
(239) 468-7929
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME95768
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276252800
—
FL
01
—
304134
AVMED
FL
01
—
57601
BCBS OF FL
FL
01
—
7944871
AETNA
FL
01
—
9338156
CIGNA
FL
01
—
P01319830
RR MEDICARE
FL
01
—
P100579
FRREDOM
FL
01
—
P954381
OPTIMUM
FL
Enumeration date
09/06/2006
Last updated
08/20/2024
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