Banafsheh Kiankhooy Fard
Adolescent Medicine
2780 Cleveland Ave Ste 709
Fort Myers
, Florida 33901-5857
Banafsheh Kiankhooy Fard
Adolescent Medicine
2780 Cleveland Ave Ste 709
Fort Myers
, Florida 33901-5857
(239) 343-2301
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Banafsheh Kiankhooy Fard
- Po Box 2147
- Fort Myers, FL
- Zip : 33902-2147
- Fax : (239) 343-2301
- Phone : (239) 343-3831
Second Address
- Banafsheh Kiankhooy Fard
- 2780 Cleveland Ave Ste 709
- Fort Myers, FL
- Zip : 33901-5857
- Fax : (239) 343-2301
- Phone : (239) 343-3831
Reviews
FAQs
Where did Banafsheh Kiankhooy Fard attend graduate school?
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Is Banafsheh Kiankhooy Fard board certified?
What type of doctor is Banafsheh Kiankhooy Fard
In what state does Banafsheh Kiankhooy Fard practice in?
Where is Banafsheh Kiankhooy Fard ’s practice located?
What is Banafsheh Kiankhooy Fard ’s gender?
Is Banafsheh Kiankhooy Fard a sole practitioner?
Is Banafsheh Kiankhooy Fard accepting new patients?
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Does Banafsheh Kiankhooy Fard accept insurance?
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What is Banafsheh Kiankhooy Fard ’s NPI number?
Does Banafsheh Kiankhooy Fard have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | ME119702 | FL |
National Provider Identifier
| NPI | 1174819395 |
|---|---|
| Provider Name | Banafsheh Kiankhooy Fard |
| First Address | Fort Myers, FL 33902-2147 |
| Second Address | Fort Myers, FL 33901-5857 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2011 |
| Last Update Date | 17/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| ME119702 | LICENSE (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.