# SANKARA N DINAVAHI MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841515277
- **Authorized official:** SANKARA N DINAVAHI M.D. (OWNER)
- **Authorized official phone:** (352) 597-2009

## Contact information

- **Practice address:** 11321 CORTEZ BLVD, BROOKSVILLE, FL 34613-5407
- **Practice address phone:** (352) 597-2009
- **Mailing address:** 11321 CORTEZ BLVD, BROOKSVILLE, FL 34613-5407
- **Mailing address phone:** (352) 597-2009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2010
- **Last updated:** 07/01/2010
