Provider Demographics
NPI:1801683453
Name:KAKAJANOV, MURUVVET
Entity type:Individual
Prefix:
First Name:MURUVVET
Middle Name:
Last Name:KAKAJANOV
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4889 S CONGRESS AVE # 202
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-4762
Mailing Address - Country:US
Mailing Address - Phone:561-598-1753
Mailing Address - Fax:
Practice Address - Street 1:4889 S CONGRESS AVE # 202
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-4762
Practice Address - Country:US
Practice Address - Phone:561-598-1753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI78392355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty