Individual
VANITA SAHASRANAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4720 N STATE ROAD 7, LAUDERDALE LAKES, FL 33319-5860
(954) 606-0911
Mailing address
13301 BRUCE B DOWNS BLVD # 2722C, TAMPA, FL 33612-3807
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME130678
FL
Other
Enumeration date
06/08/2011
Last updated
05/10/2019
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