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Individual

DR. BHAVANI MOPARTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1717 S ORANGE AVE STE 103, ORLANDO, FL 32806-2946
(321) 841-4344
(321) 843-1753
Mailing address
1717 S ORANGE AVE STE 103, ORLANDO, FL 32806-2946
(321) 841-4344
(321) 843-1753

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
M6780
TX
207RG0100X
Gastroenterology Physician
Primary
ME167346
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123483900
FL
01
M6780
MEDICAL LICENSE
TX
Enumeration date
02/26/2007
Last updated
09/13/2024
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