DR. Bahram Dideban, M.D.

NPI #1992189948 in High Springs, Florida

Provider Information

NPI Number: 1992189948
Entity Type: Individual
Name: DR. Bahram Dideban, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jul 18, 2015
Last Updated: Jun 20, 2023

Practice Location

Address: 18741 HIGH SPRINGS MAIN ST
City: High Springs
State: Florida
ZIP Code: 32643-0074
Phone: (786) 300-7808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Family Medicine	207Q00000X	Primary

Additional Practice Locations

1549 Gale Lemerand Dr Fl 4

Gainesville, FL, 32610-3008

(352) 273-7943

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