Organization
I V S NATH MD FRCP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IYYUNI V S NATH MD (OWNER)
(727) 546-1680
Entity
Organization
Contact information
Practice address
6217 66TH ST, PINELLAS PARK, FL 33781-5025
(727) 546-1680
(727) 546-9746
Mailing address
PO BOX 25233, TAMPA, FL 33622-5233
(727) 823-2188
(727) 828-0723
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME47362
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065241500
—
FL
Enumeration date
09/16/2009
Last updated
12/10/2010
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