Provider Demographics
NPI:1588024954
Name:BARANDEH, FARDA (PA)
Entity type:Individual
Prefix:
First Name:FARDA
Middle Name:
Last Name:BARANDEH
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:9500 S DADELAND BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-2866
Mailing Address - Country:US
Mailing Address - Phone:785-530-3820
Mailing Address - Fax:305-675-3378
Practice Address - Street 1:1939 ROLAND CLARKE PL STE 200
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-1445
Practice Address - Country:US
Practice Address - Phone:703-766-2650
Practice Address - Fax:703-766-2654
Is Sole Proprietor?:No
Enumeration Date:2016-02-29
Last Update Date:2024-05-14
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant