Individual
DR. AHMAD T A A A DEHRAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-5215
Mailing address
337 IVES DAIRY RD, APT 5, MIAMI, FL 33179-3350
(350) 974-5548
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
15135
FL
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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