MEDICARE: SEETAL MEWAR M.D.,

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	207RH0003X	Hematology & Oncology Physician	ME109930	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043428089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEETAL MEWAR M.D.,

Provider Business Mailing Address
First Line	:	3450 LANTANA RD
Second Line	:	STE 100
City	:	LAKE WORTH
State	:	FL
Zip	:	33462-1304
Country	:	US
Telephone Number	:	561-965-1864
Fax Number	:	561-967-5005

Provider Business Practice Location Address
First Line	:	3450 LANTANA RD
Second Line	:	STE 100
City	:	LAKE WORTH
State	:	FL
Zip	:	33462-1304
Country	:	US
Telephone Number	:	561-965-1864
Fax Number	:	561-967-5005

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

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	11/17/2015

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