IndividualActive
Aditya Derasari, M.D.
NPI 1902070725 · Adult Reconstructive Orthopaedic Surgery Physician · Miami, FL
Provider details
- NPI number
- 1902070725
- Entity type
- Individual
- Primary specialty
- Adult Reconstructive Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 276427 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1611 Nw 12th Ave
Miami, FL 33136-1005
Phone: (305) 243-3000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 16960
Miami, FL 33101-6960
Registry dates
- Enumerated
- 2008-04-14
- Last updated
- 2024-12-18
- Certified
- 2024-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.