Provider Demographics
NPI:1346597465
Name:AMERICAN CONSULTANTS & CLINICAL PHARMACY SERVICES ACCPS
Entity Type:Organization
Organization Name:AMERICAN CONSULTANTS & CLINICAL PHARMACY SERVICES ACCPS
Other - Org Name:ACCPS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KAVEH
Authorized Official - Middle Name:
Authorized Official - Last Name:KARANDISH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-271-3000
Mailing Address - Street 1:9745 SW 72ND ST STE 109
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4619
Mailing Address - Country:US
Mailing Address - Phone:305-271-3000
Mailing Address - Fax:305-271-8000
Practice Address - Street 1:9745 SW 72ND ST STE 109
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4619
Practice Address - Country:US
Practice Address - Phone:305-271-3000
Practice Address - Fax:305-271-8000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-08
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
163W00000X, 174400000X, 213E00000X, 363A00000X, 363L00000X
FL320231835P0018X
FL8579207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Multi-Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty