Individual
BASUDEV PUDASAINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7981 GLADIOLUS DR, FORT MYERS, FL 33908-4154
(239) 939-0999
Mailing address
7981 GLADIOLUS DR, FORT MYERS, FL 33908-4154
(239) 939-0999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
109717
FL
207RN0300X
Nephrology Physician
Primary
109717
FL
Other
Enumeration date
01/06/2009
Last updated
11/16/2022
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