NPI 1053357475

Mazhar Kayyal, MD

Practitioner Specialist Ormond Beach, FL

Practice location

Address: 875 Sterthaus Ave, Ormond Beach, FL 32174-5131
Phone: (386) 676-0255
Mailing address: 8 Lionshead Dr, Ormond Beach, FL 32174-9041

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence ME79963 (FL)

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Registry record

NPI: 1053357475
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jun 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.