Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | PO2738 | FL |
N | 222Z00000X | Podiatrist | PO2738 | FL |
N | 213EP1101X | Primary Podiatric Medicine | PO2738 | FL |
N | 111NR0200X | Radiology | PO2738 | FL |
N | 213ER0200X | Radiology | PO2738 | FL |
N | 2081S0010X | Sports Medicine | PO2738 | FL |
N | 213ES0000X | Sports Medicine | PO2738 | FL |
N | 213ES0103X | Foot & Ankle Surgery | PO2738 | FL |
N | 213ES0131X | Foot Surgery | PO2738 | FL |
NPI | 1114040664 |
---|---|
Provider Name | Dr. Arash Jahromi |
First Address | Davie, FL 33329-2616 |
Second Address | Plantation, FL 33317-3775 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2007 |
Last Update Date | 08/07/2007 |