Provider Demographics
NPI:1255302949
Name:GOWANI, NASIMA HAMIDALI (MD)
Entity Type:Individual
Prefix:MRS
First Name:NASIMA
Middle Name:HAMIDALI
Last Name:GOWANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7224 STONEROCK CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-8000
Mailing Address - Country:US
Mailing Address - Phone:407-345-4999
Mailing Address - Fax:407-352-6450
Practice Address - Street 1:7224 STONEROCK CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-8000
Practice Address - Country:US
Practice Address - Phone:407-345-4999
Practice Address - Fax:407-352-6450
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00712702080S0012X, 2080P0202X
FL00712702083B0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No2080S0012XAllopathic & Osteopathic PhysiciansPediatricsSleep Medicine
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL250991100Medicaid
FL40001Medicare ID - Type UnspecifiedGRP MCR NO.