Individual
DR. LALBAHADUR S NAGABHAIRU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2060 N DONNELLY ST, MOUNT DORA, FL 32757-2824
(352) 383-7703
(352) 383-8875
Mailing address
PO BOX 1077, MOUNT DORA, FL 32756-1077
(352) 383-7703
(352) 383-8875
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME 83590
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263334500
—
FL
Enumeration date
06/04/2006
Last updated
07/08/2007
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