Montazemi, Robert Komron

Montazemi, Robert Komron is an individual health care provider with primary practice located at 1300 Miccosukee Rd , Tallahassee FL 32308-5054. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Montazemi, Robert Komron can be contacted via phone (850) 431-4556.

Contact Information

Primary practice address
1300 Miccosukee Rd Tallahassee FL 32308-5054
Phone: (850) 431-4556
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31953 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-067214 Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME16184 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01051276A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME16184 Florida

Profile Details

NPI number 1184692238
LBN Legal business name Montazemi, Robert Komron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jan 12th, 2023 - about 3 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 1184692238 NPPES
Indiana MEDICAID 200109320
Indiana Other 000000716795
Indiana MEDICAID 2063109

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