| Doctor Name: | DR. MOHAMMAD HOSSEIN GHARAVI |
| NPI Number: | 1013050939 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD, PT |
| License Number: | 2305005801 |
| Business Practice Address: | 51 S Main Ave Suite 318 Clearwater, FL - 337653952 |
| Business Phone Number: | 7275726261 |
| Business Fax Number: | 7274432501 |
| Mailing Address: | 51 S Main Ave, Suite 318 CLEARWATER |
| State: | FL |
| Postal Code: | 337653952 |
| Phone Number: | 7275726261 |
| Fax Number: | 7274432501 |
| NPI Enumeration Date: | 02/14/2007 |
| NPI Last Update Date: | 01/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 2305005801 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |