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

Dr. Bahram Dideban, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1992189948

Dr. Bahram Dideban, MD is a Student in an Organized Health Care Education/Training Program in High Springs, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

18741 High Springs Main St
High Springs, FL 32643-0074
Phone: (786) 300-7808
Show map & directions

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

Additional practice locations (1)

  • 1549 Gale Lemerand Dr Fl 4, Gainesville, FL 32610-3008 — (352) 273-7943

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME136670 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1992189948
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 18, 2015
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023
Mailing address1625 Nw 19th Cir, Gainesville, FL 32605-4093

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