THE EMRAN PARVEEN AND SON'S BREAST CENTER, LLC (NPI# 1396992830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396992830 |
| Entity Type | Organization |
| Organization Name | THE EMRAN PARVEEN AND SON'S BREAST CENTER, LLC |
| Other Organization Name | TEPAS BREAST CENTER |
| Practice Address |
1140 Broadband Dr Melbourne FL 32901-2623 |
| Mailing Address |
Po Box 33428 Indialantic FL 32903-0428 |
| Practice Telephone | 3217331901 |
| Practice Fax Number | 3217330211 |
| Mailing Telephone | 3217331901 |
| Mailing Fax Number | 3217330211 |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2015-05-13 |
| Authorized Official Name | DR. EMRAN R IMAMI (OWNER) |
| Authorized Official Telephone | 3217331901 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| TEPAS Breast Center | Doing Business As Name - Organization |
| Street Address |
1140 BROADBAND DR |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-2623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215901848 | Emran Riaz Imami | Surgery | 1140 Broadband Dr, Melbourne, FL 32901-2623 | 2006-02-13 |
| 1972054864 | Simone King Paul | Nurse Practitioner | 1140 Broadband Dr, Melbourne, FL 32901-3177 | 2016-10-17 |
| 1548626880 | Tepashealthcare | Nurse Practitioner | 1140 Broadband Dr, Melbourne, FL 32901-2623 | 2015-12-31 |
| 1780059329 | Brent Boro | Nurse Practitioner | 1140 Broadband Dr, Melbourne, FL 32901-2623 | 2015-12-08 |
| 1710122973 | Girlfriends Health Plc | Psychologist | 1140 Broadband Dr, Melbourne, FL 32901-2623 | 2008-12-02 |
| 1043479025 | Irfan R Imami Md Pl | Surgery | 1140 Broadband Dr, Melbourne, FL 32901-2623 | 2008-06-05 |
| 1851344063 | Bsa LLC | Surgery | 1140 Broadband Dr, Melbourne, FL 32901-2623 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225592041 | Central Florida Radiology LLC | Radiology | Standup Mri of Brevrd, 6023 Farcenda Place - Suite 101, Melbourne, FL 32940-7340 | 2019-01-25 |
| 1235365578 | Chad Phillip Berlin | Radiology | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2009-06-01 |
| 1750522678 | David Raymond Autry | Radiology | 3830 S Hwy A1a # 4-160, Melbourne, FL 32951-3143 | 2009-03-24 |
| 1487851812 | Temoor Sajjad Anwar | Radiology | 765 W Nasa Blvd, Melbourne, FL 32901-1815 | 2007-06-29 |
| 1760694285 | Michael Wayne Chen | Radiology | 1350 Hickory Street, Melbourne, FL 32901-3224 | 2007-05-04 |
| 1710902812 | Alan K Marumoto | Radiology | 1800 W. Hibiscus Blvd, Suite 100, Melbourne, FL 32901-2629 | 2006-07-12 |
| 1033165865 | David Samuel Epstein | Radiology | 1775 W Hibiscus Blvd, Ste 215, Melbourne, FL 32901-2620 | 2006-05-25 |
| 1366419384 | Brian H Breslaw | Radiology | 1350 South Hickory Street, Holmes Regional Medical Center/radiology, Melbourne, FL 32901-3278 | 2006-03-08 |
| 1437147311 | Harbor City Medical Imaging Pa | Radiology | 1920 S Babcock St, Melbourne, FL 32901-4445 | 2005-10-13 |
| 1275521163 | Thomas R Foster | Radiology | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1938 | 2005-10-13 |
| Find all providers in MELBOURNE | ||||
Please comment or provide details below to improve the information on THE EMRAN PARVEEN AND SON'S BREAST CENTER, LLC.
| 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.