Provider Demographics
NPI:1316644180
Name:MAHARAJ, SHIVANAND AVIN (MD)
Entity type:Individual
Prefix:MR
First Name:SHIVANAND
Middle Name:AVIN
Last Name:MAHARAJ
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:DEPARTMENT OF OTOLARYNGOLOG, CLINICAL RESEARCH BUILDING
Mailing Address - Street 2:1120 NW 14TH ST
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136
Mailing Address - Country:US
Mailing Address - Phone:305-281-4316
Mailing Address - Fax:305-243-1651
Practice Address - Street 1:DEPARTMENT OF OTOLARYNGOLOG, CLINICAL RESEARCH BUILDING
Practice Address - Street 2:1120 NW 14TH ST
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:305-281-4316
Practice Address - Fax:305-243-1651
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2024-12-19
Deactivation Date:2023-09-19
Deactivation Code:
Reactivation Date:2024-12-19
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program