MEDICARE: DR. NEHAL GHEEWALA D.O

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	OS15497	FL
2	207R00000X	Internal Medicine Physician	OS15497	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	:	1912324070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEHAL GHEEWALA D.O

Provider Business Mailing Address
First Line	:	6101 BLUE LAGOON DR STE 400
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-2051
Country	:	US
Telephone Number	:	305-500-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	8326 N FLORIDA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-3006
Country	:	US
Telephone Number	:	813-820-5400
Fax Number	:

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

Provider Enumeration Date	:	03/26/2014
Last Update Date	:	03/06/2025

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