Provider Demographics
NPI:1912009226
Name:DAJANI, NABIL A (MD)
Entity Type:Individual
Prefix:DR
First Name:NABIL
Middle Name:A
Last Name:DAJANI
Suffix:
Gender:M
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:BAY PINES VA HEALTH CARE SYSTEM
Mailing Address - Street 2:10,000 BAY PINES BOULEVARD, DEPT. 116A
Mailing Address - City:BAY PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33708
Mailing Address - Country:US
Mailing Address - Phone:727-398-6661
Mailing Address - Fax:
Practice Address - Street 1:BAY PINES VA HEALTH CARE SYSTEM
Practice Address - Street 2:10,000 BAY PINES BOULEVARD, DEPT. 116A
Practice Address - City:BAY PINES
Practice Address - State:FL
Practice Address - Zip Code:33708
Practice Address - Country:US
Practice Address - Phone:727-398-6661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 00629532084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry