Provider Demographics
NPI:1891086526
Name:JALAEIAN, HAMED (MD)
Entity Type:Individual
Prefix:
First Name:HAMED
Middle Name:
Last Name:JALAEIAN
Suffix:
Gender:M
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:DEPT. OF INTERVENTIONAL RADIOLOGY
Mailing Address - Street 2:1150 NW 14TH STREET, SUITE 702
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1001
Mailing Address - Country:US
Mailing Address - Phone:305-243-6164
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF INTERVENTIONAL RADIOLOGY
Practice Address - Street 2:1150 NW 14TH STREET, SUITE 511
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:305-243-6164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-28
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1411502085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology