Individual
SUBHASH KSHETRAPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16261 BASS RD, SUITE 300, FORT MYERS, FL 33908-3671
(239) 274-9722
(239) 274-8867
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6410
(239) 343-4014
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME0062763
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME62763
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372393300
—
FL
Enumeration date
06/29/2006
Last updated
03/29/2021
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