Individual
DR. DILEEP RAJHAVENDRA YAVAGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1150 NW 14TH ST STE 609, MIAMI, FL 33136-2117
(305) 355-1103
(305) 355-1102
Mailing address
1120 NW 14TH ST FL 13, MIAMI, FL 33136-2107
(305) 355-1103
(305) 355-1102
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME100624
FL
2084V0102X
Vascular Neurology Physician
ME100624
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02354965
—
NY
Enumeration date
09/29/2005
Last updated
03/02/2023
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