Basic Information
Provider Information
NPI: 1407351729
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZARRIN
FirstName: ARASH
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ZARRINBAKHSH
OtherFirstName: AURASH
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 20355 NE 34TH CT APT 822
Address2:  
City: AVENTURA
State: FL
PostalCode: 331803312
CountryCode: US
TelephoneNumber: 3017282098
FaxNumber:  
Practice Location
Address1: 20900 BISCAYNE BLVD
Address2:  
City: AVENTURA
State: FL
PostalCode: 331801495
CountryCode: US
TelephoneNumber: 3056827000
FaxNumber: 3056825250
Other Information
ProviderEnumerationDate: 03/28/2018
LastUpdateDate: 09/10/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/10/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X FLN Student, Health CareStudent in an Organized Health Care Education/Training Program 
207R00000XOS17142FLY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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