Individual
DR. VIDHU KARIYAWASAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1600 SW ARCHER RD # 100277, GAINESVILLE, FL 32610
(352) 294-5481
Mailing address
1600 SW ARCHER RD # 100277, GAINESVILLE, FL 32610-3003
(352) 294-5481
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME136314
FL
207RI0200X
Infectious Disease Physician
Primary
ME136314
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024877200
—
FL
Enumeration date
07/17/2013
Last updated
07/25/2018
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