DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KAMRAN BADIZADEGAN, MD

Active Sole Proprietor

207ZC0008X · WINDERMERE, FL

Registration Details

NPI Number
1972585586
Provider Type
Individual
Gender
Male
NPI Issued
Nov 18, 2005 (20.42545563645 yrs)
Last Updated
Aug 19, 2022
Licenses
S99264 (FL)
35.129581 (OH)
111484 (FL)
97007 (FL)
111484 (FL)
Sole Proprietor
Yes

Practice Information

Address
12252 MONTALCINO CIR
WINDERMERE, FL, 347865672
Browse FL providers · Browse ZIP 34786
Phone
6176804215
Primary Specialty
207ZC0008X
207ZC0008X
Additional Specialty
Anatomic Pathology
Additional Specialty
Anatomic Pathology
Additional Specialty
Pediatric Pathology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.