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Individual

DR. PATTABHIRAMAN RAJENDRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1507 W REYNOLDS ST, STE B, PLANT CITY, FL 33563-4702
(813) 752-1053
(813) 754-6739
Mailing address
1507 W REYNOLDS ST, STE B, PLANT CITY, FL 33563-4702
(813) 752-1053
(813) 754-6739

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0044065
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
069482700
FL
01
110046858
RAILROAD
FL
01
204777
AVMED
FL
01
30704
BCBS
FL
Enumeration date
07/08/2006
Last updated
12/15/2010
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