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Individual

DR. AJAY UMESH MHATRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
625 W BALDWIN RD STE C, PANAMA CITY, FL 32405-3359
(850) 769-0329
(844) 563-8135
Mailing address
625 W BALDWIN RD STE C, PANAMA CITY, FL 32405-3359
(850) 769-0329
(844) 563-8135

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN9113
FL
207RC0000X
Cardiovascular Disease Physician
46140
AZ
207RI0011X
Interventional Cardiology Physician
46140
AZ
207RI0011X
Interventional Cardiology Physician
Primary
ME112316
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
46140
LICENSE
AZ
05
708611
AZ
01
ME112316
LICENSE
FL
Enumeration date
10/10/2006
Last updated
08/05/2021
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