Mamad Bagheri MD PA

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

MAMAD BAGHERI MD PA

Practice address

6100 Trail Blvd Unit 307
Naples, FL 34108-2834

Phone

(239) 999-6647

Fax

(239) 216-8973

NPI assigned

Apr 7, 2026

Last updated

Jul 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mamad Bagheri, MDNPI 1467560201

Title

Sole Member/Owner

Phone

(239) 999-6647

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mamad Mirza Bagheri, MD

  • MOHS-Micrographic Surgery Physician
  • Naples, FL
  • NPI 1467560201
  Authorized official Same address or phone

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

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1881536159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 TRAIL BLVD UNIT 307",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082834",
            "telephone_number": "239-999-6647",
            "fax_number": "239-216-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 TRAIL BLVD UNIT 307",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082834",
            "telephone_number": "239-999-6647",
            "fax_number": "239-216-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMAD BAGHERI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "BAGHERI",
        "authorized_official_first_name": "MAMAD",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "239-999-6647",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Malinoski, DPM
• Joseph Kenneth Malo, FNP-BC
• Lorraine Alissia Maloney, DDS
• Richard Weaver Maloney, M.D.
• Martin A Malz, MD
• Nicole Mamprejew
• Management Layr
• Romel Uy Manauis, PTA, BS
• Kaylin Maree Mancari
• Eric J. Mancini, M.D.

• MOHS-Micrographic Surgery Physician in Naples, FL
• Providers in Naples, FL by specialty
• MOHS-Micrographic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.