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Individual

RAVINDER S MAHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 MEADOWS RD, BOCA RATON, FL 33486-2304
(561) 447-9341
(561) 447-9352
Mailing address
951 NW 13TH ST, SUITE 1C, BOCA RATON, FL 33486-2359
(561) 447-9341
(561) 447-9352

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
95234
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
275630700
FL
01
54949
BCBSFL
FL
01
P00331591
RAILROAD MEDICARE
FL
Enumeration date
11/23/2005
Last updated
05/22/2008
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