Provider Demographics
NPI:1386607836
Name:ALLAF, WADDAH (MD)
Entity type:Individual
Prefix:
First Name:WADDAH
Middle Name:
Last Name:ALLAF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:660 CARROTWOOD TER
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-8240
Mailing Address - Country:US
Mailing Address - Phone:305-949-6003
Mailing Address - Fax:305-947-2713
Practice Address - Street 1:18100 NE 19TH AVE
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-1606
Practice Address - Country:US
Practice Address - Phone:305-949-6003
Practice Address - Fax:305-948-3911
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0076027207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL255021102Medicaid