Individual
ANANDA SOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30522 US 19 N STE 109, PALM HARBOR, FL 34684-4436
(727) 738-0220
(727) 734-7072
Mailing address
PO BOX 1921, DUNEDIN, FL 34697-1921
(727) 738-0220
(727) 734-7072
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0075466
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0407698
UNITED HEALTHCARE
—
01
—
110239219
RAILROAD MEDICARE
—
01
—
1627837
FIRST HEALTH
—
01
—
213422
AMERIGROUP
—
01
—
244046
AVMED
—
05
—
254433400
—
FL
01
—
3087332
CIGNA
—
01
—
410972
TUFTS HEALTH PLAN
—
01
—
43705
BLUE CROSS BLUE SHIELD
—
01
—
5306646
AETNA
—
01
—
P2746142
OXFORD HEALTH INSURANCE
—
Enumeration date
02/15/2006
Last updated
05/16/2015
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