Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | ME117044 | FL |
NPI | 1154551349 |
---|---|
Provider Name | Sanaz Kashan |
First Address | Miami, FL 33199-2516 |
Second Address | Miami, FL 33199-2516 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2009 |
Last Update Date | 21/11/2013 |