Individual
DR. ASHISH DALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8725 N WICKHAM RD, MELBOURNE, FL 32940-2239
(321) 253-4673
(321) 253-4338
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 268-4200
(321) 268-1386
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME85152
FL
207RH0003X
Hematology & Oncology Physician
ME0085152
FL
207RX0202X
Medical Oncology Physician
Primary
ME85152
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264911000
—
FL
01
—
62194Y
MEDICARE HF
FL
Enumeration date
03/29/2006
Last updated
06/04/2025
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