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Individual

RICHA WARDHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
1600 SW ARCHER RD, BOX 100254, GAINESVILLE, FL 32610-0254
(352) 265-0077
Mailing address
1600 SW ARCHER RD, BOX 100254, GAINESVILLE, FL 32610-0254
(352) 265-0077

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
048202
CT
207L00000X
Anesthesiology Physician
Primary
ME129605
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018684600
FL
Enumeration date
05/16/2010
Last updated
01/05/2017
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