Individual
ASHWIN KALYANDURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7031 SW 62ND AVE, SOUTH MIAMI, FL 33143-4701
(561) 306-4964
Mailing address
1580 NW 11TH ST, BOCA RATON, FL 33486-2014
(561) 750-6274
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2018
Last updated
04/01/2018
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