Provider Demographics
NPI:1043236235
Name:EFRAMIAN, AFSAHNEH T (MD)
Entity Type:Individual
Prefix:
First Name:AFSAHNEH
Middle Name:T
Last Name:EFRAMIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 RAYMOND ST
Mailing Address - Street 2:4TH FLOOR MENTAL HEALTH
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-8208
Mailing Address - Country:US
Mailing Address - Phone:407-599-1360
Mailing Address - Fax:407-599-1583
Practice Address - Street 1:5201 RAYMOND ST
Practice Address - Street 2:4TH FLOOR MENTAL HEALTH
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-8208
Practice Address - Country:US
Practice Address - Phone:407-599-1360
Practice Address - Fax:407-599-1583
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361096232084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036-109623Medicaid
I42561Medicare UPIN