Individual provider · Type 1 NPI

Mohammad Ibrahim Fardos

Dermatology Physician · Port Richey, FL

NPI number 1104575588 Active

Practice location

8220 US Highway 19
Port Richey, FL 34668-6639

Specialties and licenses

Taxonomy	Code	License
Dermatology Physician Primary	207N00000X	23826 (FL)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1104575588

Mohammad Ibrahim Fardos's National Provider Identifier is 1104575588, issued on Mar 22, 2022. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Port Richey, FL. The record was last updated on Jun 3, 2026.