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

Ehteram Raissi-Fard, MD

Individual provider Pediatrics Physician · NPI 1588650576

Ehteram Raissi-Fard, MD is a Pediatrics Physician in Lake Mary, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
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

758 N Sun Dr
Lake Mary, FL 32746-2599
Phone: (407) 333-2809
Fax: (407) 333-2870
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME78139 (FL)

Record details

NPI number1588650576
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 23, 2005
Last updated in NPPESJuly 13, 2026

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