Individual
NAGESH D. BAILUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1062 CEASARS CT, MOUNT DORA, FL 32757-6506
(352) 360-8707
Mailing address
PO BOX 1849, MOUNT DORA, FL 32756-1849
(352) 360-8707
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME87433
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266934000
—
FL
01
—
81704
BC BS
FL
Enumeration date
08/28/2006
Last updated
11/25/2009
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