Provider Demographics
NPI:1033371273
Name:FALDU, MIHIR R (MD)
Entity Type:Individual
Prefix:
First Name:MIHIR
Middle Name:R
Last Name:FALDU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1942 W. CR 419 STE1060
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32766-0443
Mailing Address - Country:US
Mailing Address - Phone:407-603-9134
Mailing Address - Fax:
Practice Address - Street 1:1942 W. CR 419 STE 1060
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32766-9024
Practice Address - Country:US
Practice Address - Phone:407-603-9134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN12580207R00000X
FLME108665208M00000X
FLME 108665207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist