Provider Demographics
NPI:1821418062
Name:HODROJ, NABIL (DO)
Entity Type:Individual
Prefix:DR
First Name:NABIL
Middle Name:
Last Name:HODROJ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8726 NW 26TH ST STE 16
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-1628
Mailing Address - Country:US
Mailing Address - Phone:786-640-0604
Mailing Address - Fax:786-640-0605
Practice Address - Street 1:8726 NW 26TH ST STE 16
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-1628
Practice Address - Country:US
Practice Address - Phone:786-640-0604
Practice Address - Fax:786-640-0605
Is Sole Proprietor?:No
Enumeration Date:2014-04-25
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS15003208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine