| Azhar Dalal Do Pl | |
|
15358 Sw 37th St Davie FL 33331-2743 | |
| (954) 817-6986 | |
| Not Available |
| Full Name | Azhar Dalal Do Pl |
|---|---|
| Speciality | Internal Medicine |
| Location | 15358 Sw 37th St, Davie, Florida |
| Authorized Official Name and Position | Azhar Dalal (PRESIDENT) |
| Authorized Official Contact | 9548176986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Azhar Dalal Do Pl 15358 Sw 37th St Davie FL 33331-2743 Ph: (954) 817-6986 | Azhar Dalal Do Pl 15358 Sw 37th St Davie FL 33331-2743 Ph: (954) 817-6986 |
| NPI Number | 1902129331 |
|---|---|
| Provider Enumeration Date | 03/12/2010 |
| Last Update Date | 04/12/2012 |
| Medicare PECOS PAC ID | 5991993271 |
|---|---|
| Medicare Enrollment ID | O20101230000978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902129331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS10077 (Florida) | Primary |
| Provider Name | Azhar L Dalal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972724029 PECOS PAC ID: 3072679521 Enrollment ID: I20090306000527 |
| Provider Name | Kenneth A Wojnowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427544550 PECOS PAC ID: 7012308042 Enrollment ID: I20211229001089 |
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