Forouzandeh, Mahtab

Forouzandeh, Mahtab is an sole proprietor health care provider with primary practice located at 4425 Ponce De Leon Blvd Ste 200 , Coral Gables FL 33146-1871. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Forouzandeh, Mahtab can be contacted via phone (502) 759-7691.

Contact Information

Primary practice address
4425 Ponce De Leon Blvd Ste 200 Coral Gables FL 33146-1871
Phone: (502) 759-7691
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME169365 Florida

Profile Details

NPI number 1952924458
LBN Legal business name Forouzandeh, Mahtab
Credentials MD, MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2020
Last updated Jul 2nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers