MATHEW MEHRDAD MOSHIRFAR DPM PA NPI 1093083339

NPI Information

NPI: 1093083339
Provider Name: MATHEW MEHRDAD MOSHIRFAR DPM PA
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2190 GULF GATE DR
SARASOTA, FL
ZIP 34231
Phone: (941) 921-5521
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MATHEW MEHRDAD MOSHIRFAR DPM PA is a foot and ankle surgery podiatrist in Sarasota, FL. MATHEW MEHRDAD MOSHIRFAR DPM PA NPI is 1093083339. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2190 GULF GATE DR
SARASOTA, FL
ZIP 34231-813
Phone: (941) 921-5521
Fax: (941) 927-0609

The provider's authorized official is Mathew Mehrdad Moshirfar .
The authorized official title is Owner and has the following contact phone number (941) 921-5521.

The enumeration date for this NPI number is 12/1/2011 and was last updated on 12/1/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	PO2267	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	65250	MEDICARE PIN	FLORIDA
2	U38724	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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