Individual
MUFADDAL GHADIALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6405 N FEDERAL HWY, SUITE 402, FORT LAUDERDALE, FL 33308-1412
(954) 771-8888
(954) 491-9485
Mailing address
6405 N FEDERAL HWY, SUITE 402, FORT LAUDERDALE, FL 33308-1412
(954) 771-8888
(954) 491-9485
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME94108
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300107
AVMED
FL
01
—
30015
BLUE CROSS BLUE SHIELD
FL
01
—
7772888
CIGNA
FL
01
—
P00299422
RAILROAD MEDICARE
FL
Enumeration date
07/09/2006
Last updated
01/02/2009
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