Individual
FATIMA CHAGANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-8017
Mailing address
2548 SW 13TH ST APT 2320, GAINESVILLE, FL 32608-2136
(305) 467-0678
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TRN33009
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2021
Last updated
09/15/2021
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