Organization
EMRAN PARVEEN AND SON'S BREAST CENTER, LLC
Active
Other names
TEPAS Breast Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMRAN RIAZ IMAMI M.D. (PRESIDENT)
(321) 733-1901
Entity
Organization
Contact information
Practice address
1140 BROADBAND DR, MELBOURNE, FL 32901-2623
(321) 733-1901
(321) 733-0211
Mailing address
PO BOX 33428, INDIALANTIC, FL 32903-0428
(321) 733-1901
(321) 733-0211
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Enumeration date
08/27/2008
Last updated
09/30/2021
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