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

Countryside Neurology Inc

Organization Neurology Physician · NPI 1588834964

Countryside Neurology Inc provides Neurology Physician services in Clearwater, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2349 Sunset Point Rd Ste 403
Clearwater, FL 33765-1439 Not confirmed with CMS for 18 years — call before visiting
Phone: (727) 712-1567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence ME80114 (FL)

Record details

NPI number1588834964
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ardeshir Khademi-Kemanshahi — President · (727) 712-1567
NPI enumeratedMarch 3, 2008
Last updated in NPPESMarch 3, 2008
Mailing address2349 Sunset Pt Rd Suite 403, Clearwater, FL 34682

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