Provider Demographics
NPI:1821527847
Name:SAHELI, GEZEL (MD)
Entity Type:Individual
Prefix:DR
First Name:GEZEL
Middle Name:
Last Name:SAHELI
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 1:2718 BARROW DR
Mailing Address - Street 2:
Mailing Address - City:MERRITT IS
Mailing Address - State:FL
Mailing Address - Zip Code:32952-4100
Mailing Address - Country:US
Mailing Address - Phone:833-867-2329
Mailing Address - Fax:
Practice Address - Street 1:2194 HIGHWAY A1A STE 203
Practice Address - Street 2:
Practice Address - City:INDIAN HARBOUR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-4931
Practice Address - Country:US
Practice Address - Phone:833-867-2329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-05
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD894642084P0800X
NJ25MA106531002084P0800X
FLME1452852084P0800X
VA01012691682084P0800X
PAMD4690992084P0800X
CAA243847207R00000X
FLFS32076192084P0800X
NH205102084P0800X
NY3040742084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA2662152OtherPHYSICIAN LICENSE TYPE A