Healthcare Provider Details

I. General information

NPI: 1780692111
Provider Name (Legal Business Name): NARENDRA K. MAHESHWARI, MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2323 NE 26TH AVE STE 101
POMPANO BEACH FL
33062-1147
US

IV. Provider business mailing address

2323 NE 26TH AVE STE 101
POMPANO BEACH FL
33062-1147
US

V. Phone/Fax

Practice location:
  • Phone: 954-942-9233
  • Fax: 954-942-9234
Mailing address:
  • Phone: 954-942-9233
  • Fax: 954-942-9234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. NARENDRA K MAHESHWARI
Title or Position: OWNER
Credential: MD
Phone: 954-942-9233