Individual
DR. FARAMARZ H GHAZI-TEHRANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
151 E HIGHLAND BLVD, INVERNESS, FL 34452-4846
(352) 722-1731
Mailing address
1425 S US 301, SUMTERVILLE, FL 33585-5141
(352) 793-5900
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME44247
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038063600
—
FL
01
—
36392
MEDICARE PTAN
FL
01
—
ME44247
FLORIDA LICENSE
FL
Enumeration date
04/26/2007
Last updated
07/19/2021
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