Individual
BAHAREH HASSANZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
392 RINEHART RD STE 3040, LAKE MARY, FL 32746-2548
(321) 842-2363
(321) 842-2370
Mailing address
392 RINEHART RD STE 3040, LAKE MARY, FL 32746-2548
(321) 842-2363
(321) 842-2370
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME119367
FL
2084N0400X
Neurology Physician
036.138849
IL
2084N0400X
Neurology Physician
C159706
CA
2084N0400X
Neurology Physician
Primary
ME119367
FL
Other
Enumeration date
05/11/2011
Last updated
09/13/2021
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