Individual
DR. PALGHAT M SAHASRANAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1319 SE 2ND AVE, FT LAUDERDALE, FL 33316-1809
(954) 452-7576
Mailing address
1319 SE 2ND AVE, FT LAUDERDALE, FL 33316-1809
(954) 452-7576
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0037416
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039845400
—
FL
01
—
200364
AMERIGROUP
FL
01
—
210694
AVMED
FL
01
—
4220596
AETNA
FL
01
—
93848
BLUE CROSS BLUE SHIELD
FL
01
—
ME0037416
VISTA HEALTH PLANS
FL
Enumeration date
07/21/2005
Last updated
05/15/2008
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