Individual
DR. BAKTHAVATSALAM PARVATHA VARDHINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
9740 HEALTH PARK CIRCLE, FORT MYERS, FL 33908
(239) 985-7733
(239) 482-8391
Mailing address
9740 HEALTHPARK CIRCLE, BASS RD, HOPE HOSPICE, FORT MYERS, FL 33908
(239) 985-7733
(239) 482-8391
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
211581
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
211581
NY
Other
Enumeration date
04/29/2008
Last updated
11/17/2008
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