Individual
DR. KAUSHIK MOHANLAL HAZARIWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4340 W NEWBERRY RD, SUITE 202, GAINESVILLE, FL 32607-2586
(352) 371-2800
(352) 378-7009
Mailing address
4340 W NEWBERRY RD, SUITE 202, GAINESVILLE, FL 32607-2586
(352) 371-2800
(352) 378-7009
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0063988
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376594600
—
FL
01
—
592046817
TAX ID #
FL
Enumeration date
05/17/2006
Last updated
08/03/2020
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