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Individual

NANDITA SHANKAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8200 W SUNRISE BLVD, #D-6, PLANTATION, FL 33322-5426
(954) 475-1735
(954) 475-1741
Mailing address
8200 W SUNRISE BLVD, #D-6, PLANTATION, FL 33322-5426
(954) 475-1735
(954) 475-1741

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME64830
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
375985700
FL
Enumeration date
04/10/2008
Last updated
04/12/2012
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