Individual
DR. BALLAPURAM G ADHINARAYANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 HARBOR BLVD, SUITE 16, PORT CHARLOTTE, FL 33952
(941) 613-1223
(941) 613-1224
Mailing address
2400 HARBOR BLVD, SUITE 16, PORT CHARLOTTE, FL 33952
(941) 613-1223
(941) 613-1224
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME36447
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039715600
—
FL
01
—
100013032
RAILROAD MEDICARE
FL
Enumeration date
03/01/2006
Last updated
07/27/2010
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