Individual
DR. RAJA MOTI GIDWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3920 SW 186TH WAY, MIRAMAR, FL 33029-2720
(321) 695-9472
Mailing address
3920 SW 186TH WAY, MIRAMAR, FL 33029-2720
(321) 695-9472
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
109293
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2006
Last updated
05/06/2021
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