Individual
BAHRAM KAKAVAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13535 NEMOURS PKWY, ORLANDO, FL 32827-7402
(407) 567-4000
(407) 567-5961
Mailing address
13535 NEMOURS PKWY, ORLANDO, FL 32827-7402
(407) 567-4000
(407) 567-5961
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
ME117075
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009650300
—
FL
05
—
64078389
—
KY
Enumeration date
07/15/2006
Last updated
05/15/2014
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