MEDICARE: DR. GEZEL SAHELI 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
1	207R00000X	Internal Medicine Physician	ME148624	FL
2	207R00000X	Internal Medicine Physician	66335	AZ
3	207R00000X	Internal Medicine Physician	A243847	CA
4	2084P0800X	Psychiatry Physician	25MA10653100	NJ
5	2084P0800X	Psychiatry Physician	0101269168	VA
6	2084P0800X	Psychiatry Physician	D89464	MD
7	2084P0800X	Psychiatry Physician	MD469099	PA
8	2084P0800X	Psychiatry Physician	FS3207619	FL
9	2084P0800X	Psychiatry Physician	20510	NH
10	2084P0800X	Psychiatry Physician	304074	NY
11	2084P0800X	Psychiatry Physician	ME145285	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2662152	OTHER	CA	PHYSICIAN LICENSE TYPE A
2	1720764020	OTHER		NPI

General Provider Information

NPI Number	:	1821527847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEZEL SAHELI MD

Provider Business Mailing Address
First Line	:	2194 A1A HWY STE 203
Second Line	:
City	:	INDIAN HARBOUR BEACH
State	:	FL
Zip	:	32937-4931
Country	:	US
Telephone Number	:	310-666-8516
Fax Number	:

Provider Business Practice Location Address
First Line	:	2194 HIGHWAY A1A STE 203
Second Line	:
City	:	INDIAN HARBOUR BEACH
State	:	FL
Zip	:	32937-4931
Country	:	US
Telephone Number	:	833-867-2329
Fax Number	:

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

Provider Enumeration Date	:	06/05/2017
Last Update Date	:	06/17/2024

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Directions to “ DR. GEZEL SAHELI MD” Practice Location

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