DR. IRFAN RIAZ IMAMI (NPI# 1902844699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902844699 |
| Entity Type | Individual |
| Full Name | DR. IRFAN RIAZ IMAMI |
| Credential | M.D. |
| Practice Address |
1223 Gateway Dr Ste 2c Melbourne FL 32901-2607 |
| Mailing Address |
3300 S Fiske Blvd Rockledge FL 32955-4306 |
| Practice Telephone | 3215490815 |
| Practice Fax Number | 3217680039 |
| Mailing Telephone | 3215490815 |
| Mailing Fax Number | 3219517408 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2019-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME91536 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 278067400 | 05 | |
| FL | MEDICARE | KM781 | 01 |
| Street Address |
1223 GATEWAY DR STE 2C |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669802831 | Tannis Smith | Nurse Practitioner | 1223 Gateway Dr Ste 2c, Melbourne, FL 32901 | 2013-11-25 |
| 1942577465 | Stacey Lynn Joyner | Nurse Practitioner | 1223 Gateway Dr Ste 2c, Melbourne, FL 32901-2607 | 2011-11-29 |
| 1417188764 | Nina Jean Tachikawa | Pharmacist | 1223 Gateway Dr Ste 2c, Melbourne, FL 32901-2607 | 2009-08-04 |
| 1811017999 | Chad Ervin Campbell | Internal Medicine | 1223 Gateway Dr Ste 2c, Melbourne, FL 32901-2607 | 2007-03-30 |
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689652729 | James W. Battaglini | Surgery | 1601 S Apollo Blvd, Suite B, Melbourne, FL 32901-4484 | 2006-01-09 |
| 1730178641 | Fuad M Ramadan | Surgery | 1250 S Harbor City Blvd, Suite A, Melbourne, FL 32901-3242 | 2005-10-14 |
| 1497748404 | Dwayne K Badgett | Surgery | 8055 Spyglass Hill Rd, Suite 102, Melbourne, FL 32940-8564 | 2005-08-24 |
| 1184624041 | Nowokere Esemuede | Surgery | 240 N Wickham Rd, Suite 204, Melbourne, FL 32935-8662 | 2005-07-21 |
| 1043479025 | Irfan R Imami Md Pl | Surgery | 1140 Broadband Dr, Melbourne, FL 32901-2623 | 2008-06-05 |
| 1396857611 | Peter Samo Dovgan | Surgery | 655 S Apollo Blvd, Melbourne, FL 32901-1485 | 2006-08-31 |
| 1245262039 | Ormond C Mendes | Surgery | 1350 Hickory St, Suite 102, Melbourne, FL 32901-3224 | 2006-07-06 |
| 1245215888 | Mark S Rosenbloom | Surgery | 1223 Gateway Dr, Melbourne, FL 32901-2607 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104394857 | George Scott Hall Sr. | Surgery | 9 Marsh Creek Rd, Fernandina Beach, FL 32034-6413 | 2018-11-09 |
| 1316413115 | Fox Vascular Experts, LLC | Surgery | 2699 Stirling Rd Ste A301302, Fort Lauderdale, FL 33312-6517 | 2018-10-18 |
| 1114417508 | Vascular Center of Naples Inc. | Surgery | 5490 Bryson Dr Ste 201, Naples, FL 34109 | 2018-05-11 |
| 1598267593 | Joseph D Stillword, Md | Surgery | 800 Zeagler Dr Ste 320, Palatka, FL 32177-3827 | 2018-03-06 |
| 1386157006 | Beatriz Lam | Surgery | 2001 West 68 St, Cvicu, Hialeah, FL 33016 | 2017-11-16 |
| 1811421092 | Sunrise Vascular Center | Surgery | 8555 Nw 165th Ter, Miami Lakes, FL 33016-6138 | 2017-04-14 |
| 1962891838 | Global Trauma Systems, Inc | Surgery | 126 Se Mira Lavella, Port Saint Lucie, FL 34984-6615 | 2015-01-15 |
| 1184013450 | Vas-q-lar, Inc | Surgery | 6187 Nw 167th St, Suite H13, Hialeah, FL 33015-4340 | 2015-01-09 |
| 1396147138 | Usa Vein Clinics of Miami, LLC | Surgery | 1711 E Hallandale Beach Blvd Ste B, Hallandale Beach, FL 33009-4621 | 2014-09-24 |
| 1114336021 | Florida Vein Center, Inc | Surgery | 6050 53rd Ave E Unit A, Bradenton, FL 34203-9700 | 2014-08-05 |
| Find all providers with the same taxonomy | ||||
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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.