Susheela Ravindra Nathan MD

NPI 1427253525 - Pediatrics - 2080A0000X

NPI Details
NPI 1427253525
Gender Female
Enumeration Date 06/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
BROOKSVILLE FL, 34613-6003, US
Phone (352) 796-6000
Fax (305) 667-0239
Business Location
5901 SW 74TH ST
MIAMI FL, 33143-5165, US
Phone (305) 665-4614
Fax (305) 667-0239
Taxonomy Code 2080A0000X
License State Florida
License Number ME 27079
Remove 1427253525 NPI Number

According to our database, Susheela Ravindra Nathan MD NPI is 1427253525, taxonomy code is 2080A0000X and license number is ME 27079, license state is located at Florida. Susheela Ravindra Nathan MD physically located at 14555 Cortez Blvd, Brooksville FL, 34613-6003. NPI Number Susheela Ravindra Nathan MD has the Individual type.

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1427253525 NPI number is provided on an as is basis without warranty of any kind. 1427253525 is maintained by the National Plan & Provider Enumeration System. The contents of Susheela Ravindra Nathan MD are for informational purposes only.