Individual
DR. PADMA K VEDANTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
7369 SHERIDAN ST, SUITE 102, PEMBROKE PINES COMMUNITY BASED OUTPATIENT CLINIC, HOLLYWOOD, FL 33024
(954) 894-1668
(954) 894-6670
Mailing address
14209 NW 19TH ST, PEMBROKE PINES, FL 33028-2819
(954) 432-2606
(954) 894-6670
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME77780
FL
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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