National Provider Identifier Database

BANAFSHEH KIANKHOOY FARD, MD – NPI #1174819395
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

BANAFSHEH KIANKHOOY FARD, MD
2780 CLEVELAND AVE STE 709
FORT MYERS, FL33901-5857
Phone: 239-343-3831
Fax: 239-343-2301
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for BANAFSHEH KIANKHOOY FARD

NPI Number 1174819395
Credentials MD
Entity Individual
Enumeration date 06/27/2011
Last updated 05/17/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • FL License #: ME119702
  • FL Other: ME119702 LICENSE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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