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NPI Code Detail

MEDICARE: MITALI DALWALLA MD, MPH

MEDICARE: MITALI DALWALLA MD, MPH
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1598604399
Entity Type Code : Individual
Provider Name (Legal Business Name) : MITALI DALWALLA MD, MPH
Provider Business Mailing Address
First Line : 1010 BRICKELL AVE UNIT 1604
Second Line :
City : MIAMI
State : FL
Zip : 33131-3761
Country : US
Telephone Number : 419-902-4425
Fax Number :
Provider Business Practice Location Address
First Line : 3501 JOHNSON ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-5421
Country : US
Telephone Number : 954-987-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2026
Last Update Date : 03/26/2026

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