Provider Demographics
NPI:1770889107
Name:HARESH N ASNANI, M.D., P.A.
Entity type:Organization
Organization Name:HARESH N ASNANI, M.D., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARESH
Authorized Official - Middle Name:N
Authorized Official - Last Name:ASNANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-622-7088
Mailing Address - Street 1:10887 NORTH MILITARY TRAIL
Mailing Address - Street 2:SUITE 3
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6528
Mailing Address - Country:US
Mailing Address - Phone:561-622-7088
Mailing Address - Fax:561-626-3386
Practice Address - Street 1:10887 NORTH MILITARY TRAIL
Practice Address - Street 2:SUITE 3
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-6528
Practice Address - Country:US
Practice Address - Phone:561-622-7088
Practice Address - Fax:561-626-3386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL40446207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL041859500Medicaid
FLD57219Medicare UPIN