Individual
DR. CHINNIA GNANASHANMUGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 HARBOR BLVD, SUITE 12, PORT CHARLOTTE, FL 33952-5052
(941) 625-6187
(941) 625-7887
Mailing address
2400 HARBOR BLVD, SUITE 12, PORT CHARLOTTE, FL 33952-5052
(941) 625-6187
(941) 625-7887
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME38376
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066348400
—
FL
Enumeration date
07/17/2006
Last updated
09/09/2013
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