Individual
FAZILAT ISHKANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-4200
(305) 243-4363
Mailing address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-4200
(305) 243-4363
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME114480
FL
Other
Enumeration date
11/08/2012
Last updated
02/04/2013
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