Provider Demographics
NPI:1598172546
Name:UNIVERSITY OF MIAMI
Entity Type:Organization
Organization Name:UNIVERSITY OF MIAMI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENETIC COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AISHWARYA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVARAJAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSC MMSC
Authorized Official - Phone:305-243-5944
Mailing Address - Street 1:1501 NW 10TH AVE # 336M860
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1012
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1501 NW 10TH AVE # 336M860
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1012
Practice Address - Country:US
Practice Address - Phone:305-243-5944
Practice Address - Fax:305-243-3919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital