Ina A Nevdakh, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME146051 Issued in FL

Practice address

12741 Miramar Pkwy Ste 301
Miramar, FL 33027-2905

Phone

(142) 564-7846

NPI assigned

May 24, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1215220280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12741 MIRAMAR PKWY STE 301",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272905",
            "telephone_number": "142-564-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12741 MIRAMAR PKWY STE 301",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272905",
            "telephone_number": "142-564-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVDAKH",
        "first_name": "INA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME146051",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantale Nelson
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• Katherine E Neudahl, PHARM.D.
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• New Hope Care Center, Inc.
• New Identity Wellness Center LLC

• Plastic Surgery Physician in Miramar, FL
• Providers in Miramar, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.