Provider Demographics
NPI:1508584954
Name:AARAD VASCULAR CARE INC
Entity Type:Organization
Organization Name:AARAD VASCULAR CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KUNAL
Authorized Official - Middle Name:I
Authorized Official - Last Name:NANAVATI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-547-0091
Mailing Address - Street 1:6465 NW 75TH WAY
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-1253
Mailing Address - Country:US
Mailing Address - Phone:786-547-0091
Mailing Address - Fax:
Practice Address - Street 1:201 SW 84TH AVE
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2708
Practice Address - Country:US
Practice Address - Phone:954-747-7373
Practice Address - Fax:954-741-9074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-19
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL115642200Medicaid