MEDICARE: MRS. NASIMA HAMIDALI GOWANI 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	2080S0012X	Pediatric Sleep Medicine Physician	ME0071270	FL
2	2083B0002X	Obesity Medicine (Preventive Medicine) Physician	0071270	FL
3	2080P0202X	Pediatric Cardiology Physician	ME0071270	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	:	1255302949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NASIMA HAMIDALI GOWANI M.D

Provider Business Mailing Address
First Line	:	7224 STONEROCK CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-8000
Country	:	US
Telephone Number	:	407-345-4999
Fax Number	:	407-352-6450

Provider Business Practice Location Address
First Line	:	7224 STONEROCK CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-8000
Country	:	US
Telephone Number	:	407-345-4999
Fax Number	:	407-352-6450

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

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	02/03/2023

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