Individual
MAGAN BAKARANIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 OAKFIELD DR, SUITE A, BRANDON, FL 33511-5723
(813) 689-1912
(813) 684-3335
Mailing address
321 E ROBERTSON ST, BRANDON, FL 33511-5253
(813) 685-2191
(813) 689-8755
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0036154
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039629000
—
FL
Enumeration date
07/05/2006
Last updated
10/07/2010
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