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Organization

RADHA VALLABHANENI MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RADHA VALLABHANENI M.D. (DOCTOR)
(954) 796-9666
Entity
Organization

Contact information

Practice address
3080 NW 99TH AVE, SUITE # 302, CORAL SPRINGS, FL 33065-4038
(954) 796-9666
(954) 796-0333
Mailing address
PO BOX 970728, COCONUT CREEK, FL 33097-0728
(954) 796-9666
(954) 796-0333

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME81289
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009430500
FL
05
251368400
FL
Enumeration date
03/19/2007
Last updated
09/01/2021
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