Individual
DR. NYLA HAZRATJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-1771
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.098814
OH
207RG0100X
Gastroenterology Physician
40015
SC
207RG0100X
Gastroenterology Physician
Primary
ME128835
FL
207RG0100X
Gastroenterology Physician
T3300
TX
208M00000X
Hospitalist Physician
ME128835
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020585400
—
FL
05
—
400160
—
SC
01
—
SCB290A890
MEDICARE
SC
01
—
VL682
MEDICARE HF
FL
Enumeration date
04/10/2009
Last updated
06/25/2025
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