Individual
MARIANA KHAWAND-AZOULAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 NW 12TH AVE FL 11, MIAMI, FL 33136-1003
(305) 243-6668
Mailing address
1400 NW 12TH AVE FL 11, MIAMI, FL 33136-1003
(305) 243-6668
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
ME121146
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016498100
—
FL
Enumeration date
05/26/2011
Last updated
03/18/2019
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