Individual
ANAIMALAI V NANJUNDASAMY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5664 SW 60TH AVE, OCALA, FL 34474-5677
(352) 291-5400
(352) 291-5582
Mailing address
5664 SW 60TH AVE, OCALA, FL 34474-5677
(352) 291-5400
(352) 291-5582
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME 79083
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78703
BCBS PROVIDER NUMBER
FL
01
—
P00253944
MEDICARE RR CARRIER
FL
Enumeration date
04/26/2006
Last updated
07/09/2007
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