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Individual

DR. SHENIN MADATALI SACHEDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
2200 GLENWOOD DR, SUITE 201, WINTER PARK, FL 32792-3315
(407) 740-5127
(407) 740-0827
Mailing address
2200 GLENWOOD DR, SUITE 201, WINTER PARK, FL 32792-3315
(407) 740-5127
(407) 740-0827

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS0006978
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
375581161
TRICARE ID #
FL
01
57169
BLUE CROSS
FL
Enumeration date
06/20/2006
Last updated
04/25/2024
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