Kamran Ajami, MD

Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Plantation, FL

NPI 1003880378 · NPPES record last updated Oct 17, 2007

Key facts

NPI
1003880378
Entity type
Individual (NPI type 1)
Primary specialty
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
License
ME0063022 (FL)
Practice address
8201 W Broward Blvd
Westside Regional Medical Center Pathology Dept
Plantation, FL 33324
Phone
(954) 577-2415
Fax
(954) 452-2100
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0063022FLMDAnatomic Pathology & Clinical Pathology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME0063022 FL Yes

Addresses

Primary practice location

8201 W Broward Blvd
Westside Regional Medical Center Pathology Dept
Plantation, FL 33324

Mailing address

8201 W Broward Blvd
Westside Regional Medical Center Pathology Dept
Plantation, FL 33324
Phone (954) 577-2415

Other providers in Plantation, FL

All providers in Plantation, FL · Anatomic Pathology & Clinical Pathology Physician in Florida

Sources for this page

Verify at the official NPI Registry.