Individual
PREETI MANAVALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0001
(352) 265-0301
(919) 681-6448
Mailing address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
051749
CT
207R00000X
Internal Medicine Physician
219164
NC
207RI0200X
Infectious Disease Physician
Primary
ME146583
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107415000
—
FL
Enumeration date
03/30/2010
Last updated
09/03/2020
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