Provider Demographics
NPI:1932433570
Name:SAEED-VAFA, DARYOUSH (MD)
Entity Type:Individual
Prefix:
First Name:DARYOUSH
Middle Name:
Last Name:SAEED-VAFA
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 1:402 S ARMENIA AVE UNIT 131
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-3300
Mailing Address - Country:US
Mailing Address - Phone:314-602-7110
Mailing Address - Fax:
Practice Address - Street 1:402 S ARMENIA AVE UNIT 131
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-3300
Practice Address - Country:US
Practice Address - Phone:314-602-7110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-30
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 122544207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology