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Individual

VISWANATHAN NAGARAJAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14192 METROPOLIS AVE, FORT MYERS, FL 33912-4331
(239) 245-8223
(239) 244-9481
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-1479
(239) 424-1423

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207809
NY
207R00000X
Internal Medicine Physician
ME92706
FL
207RI0200X
Infectious Disease Physician
Primary
ME92706
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01722265
NY
05
020160600
FL
01
14C54
FLORIDA BLUE
FL
Enumeration date
02/22/2006
Last updated
11/01/2024
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