Provider Demographics
NPI:1780798223
Name:NAVANI, ANIL H (MD)
Entity type:Individual
Prefix:DR
First Name:ANIL
Middle Name:H
Last Name:NAVANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9063 POINT CYPRESS DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32836-5475
Mailing Address - Country:US
Mailing Address - Phone:321-214-0028
Mailing Address - Fax:
Practice Address - Street 1:7350 FUTURES DR
Practice Address - Street 2:SUITE 1
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-9083
Practice Address - Country:US
Practice Address - Phone:321-214-0028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88002207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL267523400Medicaid
71273YMedicare PIN
FLG40135Medicare UPIN
FL267523400Medicaid