Individual
BANAFSHEH KIANKHOOY FARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2780 CLEVELAND AVE STE 709, FORT MYERS, FL 33901-5857
(239) 343-3831
(239) 343-2301
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-3831
(239) 343-2301
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME119702
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME119702
LICENSE
FL
Enumeration date
06/27/2011
Last updated
05/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us