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Individual

DR. AJIT FERNANDES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2101 W ARLINGTON BLVD STE 210, GREENVILLE, NC 27834-5758
(917) 903-7502
Mailing address
2101 W ARLINGTON BLVD STE 210, GREENVILLE, NC 27834-5758
(917) 903-7502

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
2008-01170
NC
2085R0202X
Diagnostic Radiology Physician
ME153899
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112764700
FL
Enumeration date
06/04/2007
Last updated
12/04/2025
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