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Individual

SADAF BAZARGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
17551 N DALE MABRY HWY, LUTZ, FL 33548-4521
(813) 454-4044
(813) 265-3937
Mailing address
17551 N DALE MABRY HWY, LUTZ, FL 33548-4521
(813) 454-4044
(813) 265-3937

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME89013
FL
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
ME89013
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
268419500
FL
01
82620
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/03/2006
Last updated
11/08/2012
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