Provider Demographics
NPI:1659494854
Name:DAJANI, BRAD M (MD)
Entity Type:Individual
Prefix:DR
First Name:BRAD
Middle Name:M
Last Name:DAJANI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:9960 NW 116TH WAY
Mailing Address - Street 2:SUITE 13
Mailing Address - City:MEDLEY
Mailing Address - State:FL
Mailing Address - Zip Code:33178-1167
Mailing Address - Country:US
Mailing Address - Phone:786-924-1311
Mailing Address - Fax:786-924-1313
Practice Address - Street 1:1725 N UNIVERSITY DR
Practice Address - Street 2:SUITE425
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6089
Practice Address - Country:US
Practice Address - Phone:954-539-2030
Practice Address - Fax:954-539-2035
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2021-03-23
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Provider Licenses
StateLicense IDTaxonomies
FLME763372084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL271697600Medicaid
FL271697600Medicaid
FL49605AMedicare ID - Type Unspecified