Provider Demographics
NPI:1427422625
Name:BAMARNI, SAHAND (MD)
Entity type:Individual
Prefix:
First Name:SAHAND
Middle Name:
Last Name:BAMARNI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SAHNED
Other - Middle Name:
Other - Last Name:JAAFAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4501 BRUCE B DOWNS BLVD
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-9216
Mailing Address - Country:US
Mailing Address - Phone:813-914-1120
Mailing Address - Fax:
Practice Address - Street 1:4501 BRUCE B DOWNS BLVD
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-9216
Practice Address - Country:US
Practice Address - Phone:813-914-1120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-25
Last Update Date:2024-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.029503208600000X
FLTRN26001208600000X
IL238.000463246ZC0007X
FLME153015208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant