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Individual

CHEMBU VIDYASAGAR RAMESH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 594-5554
(352) 265-0379
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 594-5554
(352) 265-0379

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47292
WI
207R00000X
Internal Medicine Physician
Primary
ME110097
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003772400
FL
05
34572700
WI
Enumeration date
02/26/2007
Last updated
11/15/2011
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