Individual provider · Type 1 NPI

Kimya Ghaffarian, MD

Student in an Organized Health Care Education/Training Program · Cape Coral, FL

NPI number 1104756287 Active

Practice location

708 Del Prado Blvd S Ste 4
Cape Coral, FL 33990-2676

Call (239) 424-2000 Map

Mailing address

25522 Nottingham Ct
Laguna Hills, CA 92653-7501

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104756287

Kimya Ghaffarian, MD's National Provider Identifier is 1104756287, issued on May 21, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cape Coral, FL. The record was last updated on May 21, 2026.