MEDICARE: SOHAIL DELFANI MD PA

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	ME87991	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	:	1619271822
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOHAIL DELFANI MD PA

Provider Business Mailing Address
First Line	:	7100 SW 99TH AVE STE 204
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-4668
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7100 SW 99TH AVE
Second Line	:	SUITE 204
City	:	MIAMI
State	:	FL
Zip	:	33173-4667
Country	:	US
Telephone Number	:	305-596-6150
Fax Number	:	305-596-6154

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SOHAIL DELFANI
Credential	:	MD
Telephone Number	:	786-423-5628

Provider Enumeration Date	:	01/03/2011
Last Update Date	:	05/16/2024

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