Individual
HABIBOLLAH GHANAVATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9970 CENTRAL PARK BLVD N STE 207, BOCA RATON, FL 33428-2236
(561) 703-1766
Mailing address
771 NE 36TH ST, BOCA RATON, FL 33431-6137
(561) 703-1766
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2084N0400X
Neurology Physician
Primary
ME97136
FL
Other
Enumeration date
07/05/2007
Last updated
01/10/2022
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