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Individual

BAHAR MIAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
901 N LAKE DESTINY RD, SUITE 400, MAITLAND, FL 32751-4844
(407) 200-2860
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME108183
FL
207Q00000X
Family Medicine Physician
ME 108183
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME 108183
MEDICAL LICENSE
FL
Enumeration date
10/13/2010
Last updated
11/06/2018
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