Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Banafsheh Kiankhooy Fard, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1174819395

Banafsheh Kiankhooy Fard, MD is a Pediatric Adolescent Medicine Physician in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2780 Cleveland Ave Ste 709
Fort Myers, FL 33901-5857
Phone: (239) 343-3831
Fax: (239) 343-2301
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence ME119702 (FL)

Record details

NPI number1174819395
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2011
Last updated in NPPESMay 17, 2018

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