MEDICARE: DR. LAILA F CHAGANI 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	207R00000X	Internal Medicine Physician	ME67381	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225026586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAILA F CHAGANI M.D.

Provider Business Mailing Address
First Line	:	18168 NW 89TH PL
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-6534
Country	:	US
Telephone Number	:	305-308-7897
Fax Number	:

Provider Business Practice Location Address
First Line	:	486 FISHERMAN ST
Second Line	:
City	:	OPA LOCKA
State	:	FL
Zip	:	33054-3818
Country	:	US
Telephone Number	:	305-688-5456
Fax Number	:	305-688-1661

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

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	04/17/2021

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