Healthcare Provider Details

I. General information

NPI: 1174606529
Provider Name (Legal Business Name): HAKOP HRACHIAN HAFTEVANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: HAKOP HAFTEVANI HRACHIAN MD

II. Dates (important events)

Enumeration Date: 10/21/2006
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 SW 97TH AVE STE 203
MIAMI FL
33173-1492
US

IV. Provider business mailing address

PO BOX 566597
MIAMI FL
33256-6597
US

V. Phone/Fax

Practice location:
  • Phone: 305-663-3377
  • Fax: 305-663-3097
Mailing address:
  • Phone: 305-663-3377
  • Fax: 305-663-3097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberME89775
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: