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Individual

BHUVANESWARI K DANDAPANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1223 GATEWAY DR STE 2G, MELBOURNE, FL 32901-2607
(321) 473-4704
(321) 725-7028
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 473-4704
(321) 951-7408

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME63707
FL
2084V0102X
Vascular Neurology Physician
ME63707
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015931800
FL
01
18931X
MEDICARE HF
FL
01
P01164063
RRMR
FL
Enumeration date
10/26/2005
Last updated
01/17/2024
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