Mehrad, Borna

Mehrad, Borna is an individual health care provider with primary practice located at 1600 Sw Archer Rd # 100225 , Gainesville FL 32610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Mehrad, Borna can be contacted via phone (352) 273-8740.

Contact Information

Primary practice address
1600 Sw Archer Rd # 100225 Gainesville FL 32610
Phone: (352) 273-8740
Fax: (352) 273-9154
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 0101240380 Virginia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME132544 Florida

Profile Details

NPI number 1164485892
LBN Legal business name Mehrad, Borna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jun 11th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164485892 NPPES
Other JA388Z MEDICARE PTAN
MEDICAID 021382400 MEDICARE PTAN

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