| Dr Taj M Madiwale, MD | |
|
3100 Sw 62nd Ave, Miami, FL 33155-3009 | |
| (305) 666-6511 | |
| Not Available |
| Full Name | Dr Taj M Madiwale |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Emergency Medicine |
| Location | 3100 Sw 62nd Ave, Miami, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508853318 | NPI | - | NPPES |
| 009962025 | Medicaid | AL | |
| 006684600 | Medicaid | FL | |
| 051522393 | Other | AL | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0204X | Pediatrics - Pediatric Emergency Medicine | ME112434 (Florida) | Primary |
| Entity Name | Inphynet South Broward Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871521880 PECOS PAC ID: 4587563960 Enrollment ID: O20040108000083 |
| Entity Name | Sterling Emergency Services Of Florida, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295720241 PECOS PAC ID: 0648221416 Enrollment ID: O20050209000641 |
| Entity Name | Emergency Medicine Services Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Taj M Madiwale, MD 3100 Sw 62nd Ave, Miami, FL 33155-3009 Ph: () - | Dr Taj M Madiwale, MD 3100 Sw 62nd Ave, Miami, FL 33155-3009 Ph: (305) 666-6511 |
Dr. Juanita Ann Marie Hunter, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 305-585-6042 | |
Keerthana Reddy Banala, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1611 Nw 12th Ave # 6006, Miami, FL 33136 Phone: 305-585-6017 Fax: 305-325-0293 | |
Dr. Maria Del Pilar Rivero, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 786-466-6908 Fax: 786-466-6920 | |
Stephanie Dechurch, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7800 Sw 87th Ave, C-350, Miami, FL 33173 Phone: 305-271-4711 Fax: 305-271-8732 | |
Gloria E Burgos, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 Federal Hwy, Miami, FL 33137 Phone: 305-576-6611 Fax: 305-576-0008 | |
Dr. Teresita Fox, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3100 Sw 62nd Ave, Miami, FL 33155 Phone: 561-624-9188 Fax: 561-514-7217 | |
Bridget Buzzella, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3100 Sw 62nd Ave, Miami, FL 33155 Phone: 305-662-8357 |