Individual provider · NPI-1

Ilan Alhadeff, MD

Internal Medicine · Hollywood, FL

NPI number1124072194
StatusActive
Last updated in NPPESMar 26, 2021

Details

NPI
1124072194
Entity type
Individual (NPI-1)
Name
Ilan Alhadeff
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 22, 2006
Certification date
Mar 26, 2021
Last updated
Mar 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineME104650FLYes
207R00000X Internal Medicine35.134852OH
207R00000X Internal MedicineMA07934400NJ
207R00000X Internal Medicine236677NY
207R00000X Internal Medicine51663TN

Practice location

3501 Johnson St
Hollywood, FL 33021-5421

Phone 954-265-1562

Mailing address

1643 Nw 136th Ave Ste 100
Sunrise, FL 33323-2857

Phone 800-424-3672 · Fax 954-377-3042

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