Healthcare Provider Details

I. General information

NPI: 1932714268
Provider Name (Legal Business Name): NARENDRA K MAHESHWARI MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2020
Last Update Date: 09/14/2020
Certification Date: 09/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E SAMPLE RD STE 101
DEERFIELD BEACH FL
33064-4443
US

IV. Provider business mailing address

601 E SAMPLE RD STE 101
DEERFIELD BEACH FL
33064-4443
US

V. Phone/Fax

Practice location:
  • Phone: 954-942-9233
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NARENDRA K MAHESHWARI
Title or Position: DOCTOR
Credential:
Phone: 954-942-9233