Organization Active NPI

Irfan R Imami MD PL

  • Vascular Surgery Physician
  • Melbourne, FL
National Provider Identifier
1043479025
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
IRFAN R IMAMI MD PL
Practice address
1140 Broadband Dr
Melbourne, FL 32901-2623
Phone
(321) 473-1066
Fax
(321) 733-0211
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Irfan R Imami, MDNPI 1902844699
Title
Managing Member
Phone
(321) 473-1066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

1140 Broadband Dr
Melbourne, FL 32901-2623

Mailing address

PO Box 819
Melbourne, FL 32902-0819
Phone (321) 473-1066

National Provider Directory

National Provider Directory

Locations

1140 Broadband Dr
Melbourne, FL 32901
Phone (321) 312-4178

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1043479025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329020819",
            "telephone_number": "321-473-1066",
            "fax_number": "321-733-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BROADBAND DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012623",
            "telephone_number": "321-473-1066",
            "fax_number": "321-733-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRFAN R IMAMI MD PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "IMAMI",
        "authorized_official_first_name": "IRFAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "321-473-1066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.