Provider Demographics
NPI:1932582640
Name:TASLAKIAN, BEDROS (MD, MA)
Entity type:Individual
Prefix:DR
First Name:BEDROS
Middle Name:
Last Name:TASLAKIAN
Suffix:
Gender:M
Credentials:MD, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 NW 14TH ST STE 702
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-2118
Mailing Address - Country:US
Mailing Address - Phone:305-243-5509
Mailing Address - Fax:
Practice Address - Street 1:1150 NW 14TH ST STE 702
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-2118
Practice Address - Country:US
Practice Address - Phone:305-243-4917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-30
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2876002085R0202X, 2085R0204X
FLME1718552085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology