Individual
NISHARAHMED ISHAKBHAI KHERADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3700 WASHINGTON ST, HOLLYWOOD, FL 33021-8256
(954) 989-4700
Mailing address
3700 WASHINGTON ST STE 500A, HOLLYWOOD, FL 33021-8256
(954) 989-4700
(954) 966-6629
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME123242
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME123242
FL
Other
Enumeration date
04/22/2009
Last updated
04/10/2023
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