Provider Demographics
NPI:1841852308
Name:NAVIWALA, FARHAN
Entity type:Individual
Prefix:
First Name:FARHAN
Middle Name:
Last Name:NAVIWALA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19322 SW 39TH ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-2742
Mailing Address - Country:US
Mailing Address - Phone:888-412-2098
Mailing Address - Fax:401-633-6894
Practice Address - Street 1:19322 SW 39TH ST
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33029-2742
Practice Address - Country:US
Practice Address - Phone:195-449-8451
Practice Address - Fax:401-633-6894
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-05
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QL0900XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyLaboratory Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1841852308OtherHTF LAB SERVICES