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Individual

DR. MAHRAD PAYMANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
801 E DIXIE AVE, SUITE 104, LEESBURG, FL 34748-7601
(352) 365-2583
(352) 728-6749
Mailing address
734 N 3RD ST, SUITE 115, LEESBURG, FL 34748-5285
(352) 365-2583
(352) 728-6749

Taxonomy

Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
ME78823
FL
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
78823
FL
2085R0202X
Diagnostic Radiology Physician
ME78823
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME78823
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
257698800
FL
01
300107920
RR MEDICARE LMIV
FL
01
300114871
RR MEDICARE RACF
FL
Enumeration date
05/02/2006
Last updated
02/24/2016
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