MEDICARE: MR. NARENDRA K MAHESHWARI MD

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	207R00000X	Internal Medicine Physician	ME0060039	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	:	1588617039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NARENDRA K MAHESHWARI MD

Provider Business Mailing Address
First Line	:	601 EAST SAMPLE ROAD
Second Line	:	101
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33064
Country	:	US
Telephone Number	:	954-942-9233
Fax Number	:	954-942-9234

Provider Business Practice Location Address
First Line	:	601 E SAMPLE RD
Second Line	:	SUITE 101
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-4443
Country	:	US
Telephone Number	:	954-942-9233
Fax Number	:	954-942-9234

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

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	04/05/2022

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