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BOBBY GHANAVATI MD PLLC NPI 1063642528


NPI Information

NPI: 1063642528
Provider Name: BOBBY GHANAVATI, MD PLLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
9970 CENTRAL PARK BLVD N STE 207
BOCA RATON, FL
ZIP 33428
Phone: (561) 482-1027
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BOBBY GHANAVATI, MD PLLC is a specialist in Boca Raton, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BOBBY GHANAVATI, MD PLLC NPI is 1063642528. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9970 CENTRAL PARK BLVD N STE 207
BOCA RATON, FL
ZIP 33428
Phone: (561) 482-1027

The provider's authorized official is Habibollah Ghanavati .
The authorized official title is Owner and has the following contact phone number (561) 703-1766.

The enumeration date for this NPI number is 7/19/2009 and was last updated on 3/18/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistME97136FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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