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Organization

RAD GHARAVI MD PC

Active
Parent organization
RAD GHARAVI MD PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
RAD GHARAVI MD PC
Authorized official
RAD GHARAVI MD (PRESIDENT)
(773) 456-5178
Entity
Organization

Contact information

Practice address
17945 HUNTING BOW CIR STE 102, LUTZ, FL 33558-5376
(813) 449-1910
(813) 925-9007
Mailing address
17945 HUNTING BOW CIR STE 102, LUTZ, FL 33558-5376
(813) 449-1910
(813) 925-9007

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
09/19/2024
Last updated
09/19/2024
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