Individual
KAVITA IYENGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1827 HARRISON AVE, PANAMA CITY, FL 32405-7605
(850) 785-4344
(850) 785-0842
Mailing address
1827 HARRISON AVE, PANAMA CITY, FL 32405-7605
(850) 785-4344
(850) 785-0842
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35.093498
OH
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
MD.31765
AL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
ME117402
FL
Other
Enumeration date
03/13/2012
Last updated
09/03/2013
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