Individual
DR. GURU P SONPAVDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 N ORANGE AVE STE 689, ORLANDO, FL 32804-4648
(407) 303-2024
Mailing address
2501 N ORANGE AVE STE 689, ORLANDO, FL 32804-4648
(407) 303-2024
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
271600
MA
207RH0003X
Hematology & Oncology Physician
L7567
TX
207RX0202X
Medical Oncology Physician
271600
MA
207RX0202X
Medical Oncology Physician
Primary
ME154902
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163866003
—
TX
05
—
163866004
—
TX
05
—
163866005
—
TX
05
—
163866006
—
TX
05
—
163866007
—
TX
01
—
8R1554
BLUE CROSS OF TEXAS
TX
Enumeration date
06/10/2006
Last updated
10/12/2022
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