Individual
DR. ANSUYA PRITHAVI DEOSARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3280 OLD BOYNTON RD, BOYNTON BEACH, FL 33436-6506
(561) 733-3010
(561) 733-0039
Mailing address
3280 OLD BOYNTON RD, BOYNTON BEACH, FL 33436-6506
(561) 733-3010
(561) 733-0039
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2021014728
MO
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
ME155392
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101030129
MEDICARE
—
05
—
200095944
—
MO
Enumeration date
04/12/2017
Last updated
02/03/2025
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