Organization
MAMAD BAGHERI MD PA
Active
Organization
MAMAD BAGHERI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAMAD BAGHERI MD (SOLE MEMBER/OWNER)
(239) 999-6647
Entity
Organization
Contact information
Practice address
6100 TRAIL BLVD UNIT 307, NAPLES, FL 34108-2834
(239) 999-6647
(239) 216-8973
Mailing address
6100 TRAIL BLVD UNIT 307, NAPLES, FL 34108-2834
(239) 999-6647
(239) 216-8973
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
04/07/2026
Last updated
07/08/2026
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