Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 263610 | NY |
N | 207U00000X | Nuclear Medicine Specialist | 307847 | LA |
N | 207U00000X | Nuclear Medicine Specialist | ME 108428 | FL |
NPI | 1730454208 |
---|---|
Provider Name | Jason Mehraban Samii |
First Address | Orlando, FL 32891-9336 |
Second Address | Miami, FL 33176-2118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2012 |
Last Update Date | 28/09/2018 |