Individual
SIVA K. BHASHYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 MAGNOLIA AVE SW, WINTER HAVEN, FL 33880-2943
(863) 269-0210
(863) 824-7097
Mailing address
201 MAGNOLIA AVE SW, WINTER HAVEN, FL 33880-2943
(863) 269-0210
(863) 824-7097
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD428217
PA
Other
Enumeration date
03/03/2008
Last updated
02/25/2015
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