Healthcare Provider Details

I. General information

NPI: 1952302804
Provider Name (Legal Business Name): VIJAYKUMAR DINSUKHLAL ZAVERI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 12/19/2022
Certification Date: 12/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3661 S MIAMI AVE # 409
MIAMI FL
33133-4236
US

IV. Provider business mailing address

15280 NW 79TH CT STE 200
MIAMI LAKES FL
33016-5873
US

V. Phone/Fax

Practice location:
  • Phone: 305-854-5971
  • Fax: 305-858-6654
Mailing address:
  • Phone: 305-558-3724
  • Fax: 786-907-4485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberME56409
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: