Khashayar Alex Daneshmand, DO Valid NPI

Individual provider · Pediatric Critical Care Medicine Physician · Ft Myers, FL

NPI

1720005515

Type

Individual (Type 1)

Primary specialty

Pediatric Critical Care Medicine Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2080P0203X

License number

OS9802 (FL)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-16

Last updated

2020-08-19