# THIRUVALLUR VALLABHAN, MD, PA

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

## Provider details

- **NPI number:** 1972819894
- **Authorized official:** DR. THIRUVALLUR E VALLABHAN MD (PHYSICIAN OWNER)
- **Authorized official phone:** (352) 638-1705

## Contact information

- **Practice address:** 8630 E COUNTY ROAD 466, SUITE A, THE VILLAGES, FL 32162-5613
- **Practice address phone:** (352) 638-1705
- **Mailing address:** 8630 E COUNTY ROAD 466, SUITE A, THE VILLAGES, FL 32162-5613
- **Mailing address phone:** (352) 638-1705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/30/2010
- **Last updated:** 08/31/2010