Individual
KAPILKUMAR CHHAGANLAL MANVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2572 W STATE ROAD 426 STE 3080, OVIEDO, FL 32765-8312
(407) 565-2192
(407) 565-2285
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME168125
FL
207RX0202X
Medical Oncology Physician
Primary
ME168125
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122397300
—
FL
Enumeration date
05/22/2018
Last updated
08/05/2024
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