Individual
DR. ADITI VINAYAK PURANDARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5802 N 30TH ST, TAMPA, FL 33610
(813) 236-5302
(813) 234-2904
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME122838
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015036400
—
FL
01
—
150SR
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/22/2008
Last updated
03/22/2021
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