Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Ehteram Raissi-Fard, MD

Pediatrics Physician in Lake Mary, FL · enumerated 2005 · practices at Pothen Koruth MD LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1588650576

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Registry record

Entity type Individual (Type 1)

Name Ehteram Raissi-Fard

Credential MD

Sex Female

Practice address 758 N Sun Dr, Lake Mary, FL, 32746

Phone (407) 333-2809

Fax (407) 333-2870

Enumeration date Sep 23, 2005

Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License ME78139 (FL) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Ehteram Raissi-Fard?

The National Provider Identifier (NPI) for Ehteram Raissi-Fard is 1588650576, a Type 1 (individual) record in the CMS NPPES registry.

Where does Ehteram Raissi-Fard practice?

The practice location on file with NPPES is in Lake Mary, FL. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.