Individual
INDIRA UMAMAHESWARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7539 MEDICAL DR, HUDSON, FL 34667-6502
(727) 869-2115
(727) 863-6167
Mailing address
7539 MEDICAL DR, HUDSON, FL 34667-6502
(727) 869-2115
(727) 863-6167
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME92056
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275138100
—
FL
01
—
42042
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/19/2006
Last updated
06/26/2008
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