Provider Demographics
NPI:1780828095
Name:PASHA, ARASH GHASSEMI (MD)
Entity Type:Individual
Prefix:DR
First Name:ARASH
Middle Name:GHASSEMI
Last Name:PASHA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:7075 N US HIGHWAY 1
Mailing Address - Street 2:SUITE 150
Mailing Address - City:PORT ST JOHN
Mailing Address - State:FL
Mailing Address - Zip Code:32927-5216
Mailing Address - Country:US
Mailing Address - Phone:321-268-6264
Mailing Address - Fax:321-268-6360
Practice Address - Street 1:951 N WASHINGTON AVE
Practice Address - Street 2:PARRISH MEDICAL CENTER. HOSPITALIST DEPT
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32796-2163
Practice Address - Country:US
Practice Address - Phone:321-268-6111
Practice Address - Fax:321-268-6360
Is Sole Proprietor?:No
Enumeration Date:2009-04-30
Last Update Date:2015-02-05
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Provider Licenses
StateLicense IDTaxonomies
PAMD446234207R00000X
FLME118166208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLATN 560202Medicaid
FLHW190ZMedicare PIN