Organization Active NPI

Azhar Dalal DO PL

  • Internal Medicine Physician
  • Davie, FL
National Provider Identifier
1902129331
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS10077 Issued in FL
Legal business name
AZHAR DALAL DO PL
Practice address
15358 SW 37TH St
Davie, FL 33331-2743
Phone
(954) 817-6986
NPI assigned
Mar 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Dr. Azhar Dalal, DO
Title
President
Phone
(954) 817-6986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X OS10077 FL Primary

Addresses

Primary practice location

15358 SW 37TH St
Davie, FL 33331-2743

Mailing address

15358 SW 37TH St
Davie, FL 33331-2743
Phone (954) 817-6986

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1902129331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15358 SW 37TH ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333312743",
            "telephone_number": "954-817-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15358 SW 37TH ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333312743",
            "telephone_number": "954-817-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZHAR DALAL DO PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "DALAL",
        "authorized_official_first_name": "AZHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-817-6986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS10077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.