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NPI Code Detail

MEDICARE: HASNAN MOAVIA IJAZ MD

MEDICARE: HASNAN MOAVIA IJAZ MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207R00000XInternal Medicine PhysicianU8197TX

General Provider Information

NPI Number : 1134748205
Entity Type Code : Individual
Provider Name (Legal Business Name) : HASNAN MOAVIA IJAZ MD
Provider Business Mailing Address
First Line : 8201 W BROWARD BLVD
Second Line :
City : PLANTATION
State : FL
Zip : 33324-2701
Country : US
Telephone Number : 954-723-1207
Fax Number :
Provider Business Practice Location Address
First Line : 8201 W BROWARD BLVD
Second Line :
City : PLANTATION
State : FL
Zip : 33324-2701
Country : US
Telephone Number : 954-723-1207
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2020
Last Update Date : 04/14/2026

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Directions to “ HASNAN MOAVIA IJAZ MD” Practice Location

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