MEDICARE: WADDAH ALLAF 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	207RP1001X	Pulmonary Disease Physician	ME0076027	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	:	1386607836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WADDAH ALLAF M.D.

Provider Business Mailing Address
First Line	:	660 CARROTWOOD TER
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-8240
Country	:	US
Telephone Number	:	305-949-6003
Fax Number	:	305-947-2713

Provider Business Practice Location Address
First Line	:	18100 NE 19TH AVE
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-1606
Country	:	US
Telephone Number	:	305-949-6003
Fax Number	:	305-948-3911

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

Provider Enumeration Date	:	04/07/2006
Last Update Date	:	07/07/2015

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