Banafsheh Kiankhooy Fard
M.D. | Pediatric Adolescent Medicine | Female
Banafsheh Kiankhooy Fard, M.D. is a Fort Myers, Florida based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Banafsheh Kiankhooy Fard is
2780 Cleveland Ave Ste 709, Fort Myers, Florida - 33901-5857. She can be contacted on phone at
239-343-3831 and fax number 239-343-2301.
Banafsheh Kiankhooy Fard is a sole proprietor of her business.
NPI number (Unique professional ID) for Banafsheh Kiankhooy Fard is
1174819395 which was assigned by NPPES on 27 Jun, 2011 and it was last updated on 17 May, 2018.
Banafsheh Kiankhooy Fard license number is
ME119702 for Pediatrics Adolescent Medicine (2080A0000X) in Florida.
Banafsheh Kiankhooy Fard specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Banafsheh Kiankhooy Fard basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Banafsheh Kiankhooy Fard |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Banafsheh Kiankhooy Fard address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2780 Cleveland Ave Ste 709
Fort Myers, FL, 33901-5857
United States |
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| Phone Number : | 239-343-3831 |
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| Fax Number : | 239-343-2301 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1174819395 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Jun, 2011 |
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| Last Updated On : | 17 May, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Banafsheh Kiankhooy Fard are as mentioned. Primary taxonomy code for Banafsheh Kiankhooy Fard, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | ME119702 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Banafsheh Kiankhooy Fard such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| ME119702 | Other | FL | LICENSE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 2147
Fort Myers, FL, 33902-2147
United States |
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| Phone Number : | 239-343-3831 |
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| Fax Number : | 239-343-2301 |
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Business Location:
Patients can refer following map for directions to
Banafsheh Kiankhooy Fard practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.