Individual
DR. BHAVANA MADYAHNAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
968 KERSFIELD CIR, LAKE MARY, FL 32746-1936
(407) 865-0968
Mailing address
968 KERSFIELD CIR, LAKE MARY, FL 32746-1936
(407) 865-0968
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036120379
IL
207Q00000X
Family Medicine Physician
ME106299
FL
208M00000X
Hospitalist Physician
Primary
ME106299
FL
Other
Enumeration date
08/11/2009
Last updated
03/11/2021
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