Individual
BHANUPRASAD DWARKADAS SANDESARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0301
Mailing address
1329 SW 16TH ST, ROOM # 5236, GAINESVILLE, FL 32608-1128
(352) 265-7226
(352) 265-7228
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME105313
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME105313
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001379800
—
FL
Enumeration date
11/15/2007
Last updated
01/08/2024
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