BORNA MEHRAD (NPI# 1164485892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164485892 |
| Entity Type | Individual |
| Full Name | BORNA MEHRAD |
| Credential | MD |
| Practice Address |
1600 Sw Archer Rd # 100225 Gainesville FL 32610 |
| Mailing Address |
Po Box 100225 Gainesville FL 32610-0225 |
| Practice Telephone | 3522738740 |
| Practice Fax Number | 3522739154 |
| Mailing Telephone | 3522738740 |
| Mailing Fax Number | 3522739154 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2018-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
ME132544 | FL | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
0101240380 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | JA388Z | 01 | |
| FL | 021382400 | 05 |
| Street Address |
1600 SW ARCHER RD # 100225 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699273532 | Marlene Rodriguez | Physician Assistant | 1600 Sw Archer Rd # 100225, Gainesville, FL 32610-3003 | 2018-01-25 |
| 1609138098 | David Michael Becnel | Anesthesiology | 1600 Sw Archer Rd # 100225, Gainesville, FL 32610 | 2012-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440660 | Thy Cam Huynh | Occupational Therapist | 1549 Gale Lemerand Dr, Gainesville, FL 32610 | 2020-02-23 |
| 1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
| 1104310549 | Brandon Lucke-wold | Neurological Surgery | 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 | 2018-06-19 |
| 1619465754 | Carlos Eduardo Vervloet Sollero | Student in an Organized Health Care Education/Training Program | 1149 Newell Drive, University of Florida, Department of Neurology, Gainesville, FL 32610 | 2018-04-24 |
| 1811359151 | Ramsha A. Kudia | Internal Medicine | 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 | 2016-03-25 |
| 1447619937 | Wajdi Mohammed | Dentist | 1395 Center Dr., D8-6, Gainesville, FL 32610 | 2016-02-12 |
| 1922484344 | Kavan Ashit Gandhi | Dentist | 1395 Center Drive D7-19, Gainesville, FL 32610 | 2015-08-07 |
| 1972981512 | David Shin | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 | 2015-05-15 |
| 1669887485 | Alejandro Jose Delgado | Dentist | 1395 Center Drive, University of Florida, College of Dentistry, Gainsville, FL 32610 | 2014-07-01 |
| 1194167296 | Zain Shahid | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd # Ng-45, Gainesville, FL 32610 | 2013-07-18 |
| Find all providers in zip 32610 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427024983 | Runi Arepally Foster | Internal Medicine | 4741 N W 8th Ave, Suite C, Gainesville, FL 32605 | 2006-02-24 |
| 1518933076 | Jorge R Camacho | Internal Medicine | 4343 W Newberry Rd Ste 6, Gainesville, FL 32607-2824 | 2006-02-24 |
| 1750355830 | Pulmonary Physicians of Gainesville, Pa | Internal Medicine | 4711 Nw 8th Avenue, Suite C, Gainesville, FL 32605 | 2006-02-15 |
| 1568445997 | Robert Alan Greenberg | Internal Medicine | 6628 Nw 9th Blvd, Ste 4, Gainesville, FL 32605-4282 | 2005-11-21 |
| 1700870888 | David Auerbach | Internal Medicine | 7003 Nw 11th Pl, Suite 1, Gainesville, FL 32605-3176 | 2005-09-06 |
| 1063998235 | Michael Ryan Johnson | Internal Medicine | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2018-07-11 |
| 1770976813 | Robert A Greenberg Md Pa | Internal Medicine | 6628 Nw 9th Blvd, Suite 4, Gainesville, FL 32605-4282 | 2015-03-13 |
| 1831532365 | Julian Kunwoo Chung | Internal Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-0001 | 2013-04-15 |
| 1285905653 | Pulmonary Associates of Gainesville, P.C. | Internal Medicine | 675 White Sulphur Rd, Suite 175, Gainesville, GA 30501-8921 | 2012-01-18 |
| 1891002697 | Natalia Isabel Moguillansky | Internal Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2010-09-01 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32610 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.