Provider Demographics
NPI:1427436831
Name:DHEDHI, ADAM
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:DHEDHI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 JFK DR STE 102
Mailing Address - Street 2:
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462-6604
Mailing Address - Country:US
Mailing Address - Phone:561-439-0961
Mailing Address - Fax:561-439-0963
Practice Address - Street 1:160 JFK DR STE 102
Practice Address - Street 2:
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-6604
Practice Address - Country:US
Practice Address - Phone:561-439-0961
Practice Address - Fax:561-439-0963
Is Sole Proprietor?:No
Enumeration Date:2015-05-18
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME149777207RG0100X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology