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Individual

SAIED EFTEKHARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
19111 COLLINS AVE APT 2605, SUNNY ISLES BEACH, FL 33160-2384
(217) 971-0451
Mailing address
19111 COLLINS AVE APT 2605, SUNNY ISLES BEACH, FL 33160-2384
(217) 971-0451

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
H8628
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME57246
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005832074
BC/BS
IL
01
194065
HEALTHLINK
IL
01
H8628
TX STATE LICENSE
TX
01
ME57246
FL STATE LICENSE
FL
Enumeration date
08/05/2006
Last updated
07/09/2007
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