Individual
DIVYANG SORATHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 VONDERBURG DR, EAST TOWER, SUITE 201E, BRANDON, FL 33511-5964
(813) 655-1100
(813) 655-1140
Mailing address
500 VONDERBURG DR, EAST TOWER, SUITE 201E, BRANDON, FL 33511-5964
(813) 655-1100
(813) 655-1140
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME 106853
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02900223
—
NY
05
—
5908958
—
NC
01
—
P00725393
RR MEDICARE
NC
Enumeration date
05/16/2007
Last updated
05/21/2014
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