Masoud Ketabchi MD PA

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

MASOUD KETABCHI MD PA

Practice address

160 NW 170 St
Parkway Regional Medical Center
North Miami Beach, FL 33162

Phone

(305) 654-5037

Fax

(305) 654-5237

NPI assigned

May 6, 2006

Organization subpart

No

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

Authorized official

Name

Masoud Ketabchi, MD

Title

President

Phone

(305) 654-5037

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

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

• Piotr Borkowski, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Tampa, FL
  • NPI 1780807057

  Anatomic Pathology & Clinical Pathology

  NPD (past)
• Hon C Yu, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • North Miami Beach, FL
  • NPI 1285689414

  Anatomic Pathology & Clinical Pathology

  NPD (past)

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1083663389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 025483",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33102",
            "telephone_number": "305-654-5037",
            "fax_number": "305-654-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NW 170 ST",
            "address_2": "PARKWAY REGIONAL MEDICAL CENTER",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "33162",
            "telephone_number": "305-654-5037",
            "fax_number": "305-654-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASOUD KETABCHI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-06",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "KETABCHI",
        "authorized_official_first_name": "MASOUD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-654-5037",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253463100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21598",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriel Martinez, DC
• Michael Alexander Martinez, DC
• Marwan Iskandarani MD PA
• Dailet Marzo
• Paul Claudel Mascary, PHARM.D.
• Amal A Masri, DPM
• Nabil Matar, MD
• Chantal Mathurin
• Haydee Mattes del Castillo
• Kashainha Maurice

• All providers in North Miami Beach, FL
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.