MEDICARE: DR. KARL MARX DHANA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	210443	MA
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	ME85397	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME85397	OTHER	FL	MEDICAL LICENSE - FLORIDA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134101124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARL MARX DHANA M.D.

Provider Business Mailing Address
First Line	:	10317 MEDICIS PL
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33467-8069
Country	:	US
Telephone Number	:	561-790-5967
Fax Number	:

Provider Business Practice Location Address
First Line	:	4847 DAVID S MACK DR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-8023
Country	:	US
Telephone Number	:	561-946-7494
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	03/07/2023

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