Individual
DR. ASHWIN KRISHNA SABBANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 265-6307
Mailing address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 265-6307
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301103245
MI
207P00000X
Emergency Medicine Physician
Primary
ME127802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301103245
BOARD OF MEDICINE, EDUCATION LIMITED LICENSE
MI
01
—
5315060665
BOARD OF PHARMACY
MI
01
—
ME127802
FLORIDA BOARD OF MEDICINE
FL
Enumeration date
06/28/2013
Last updated
05/19/2022
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