Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | OS15141 | FL |
Y | 208D00000X | General Practice Physician | 34.015261 | OH |
NPI | 1033578190 |
---|---|
Provider Name | Dr. Menar Wahood |
First Address | South Miami, FL 33143-4701 |
Second Address | South Miami, FL 33143-4701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2016 |
Last Update Date | 28/07/2021 |