Provider Demographics
NPI:1669796629
Name:AMINI KOVES, SADEGH (MD)
Entity type:Individual
Prefix:DR
First Name:SADEGH
Middle Name:
Last Name:AMINI KOVES
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 1:6902 NW 112TH AVE
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-3727
Mailing Address - Country:US
Mailing Address - Phone:786-443-3183
Mailing Address - Fax:786-272-2550
Practice Address - Street 1:12600 SW 120TH STREET
Practice Address - Street 2:S. 107
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186
Practice Address - Country:US
Practice Address - Phone:305-969-6954
Practice Address - Fax:954-424-7093
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-19
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME123903207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology