Individual
PEDRAM ZENDEHROUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
951 N WASHINGTON AVE, PARRISH WOUND HEALING CENTER, TITUSVILLE, FL 32796-2163
(321) 268-6795
Mailing address
5220 BELFORT RD, SUITE 130, JACKSONVILLE, FL 32256-6017
(904) 446-3451
(904) 446-3013
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2004016404
MO
2086S0127X
Trauma Surgery Physician
2004016404
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209022003
—
MO
01
—
431560263006
TRICARE
MO
01
—
P00195701
RAILROAD MEDICARE
MO
Enumeration date
11/30/2006
Last updated
01/26/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us