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Individual

DR. SHARDUL ASHWIN NANAVATI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4760 TAMIAMI TRAIL NORTH, SUITE 27, NAPLES, FL 34103-3884
(239) 593-9599
(239) 593-4099
Mailing address
4760 TAMIAMI TRAIL N, SUITE 27, NAPLES, FL 34103
(239) 593-9599
(239) 593-4099

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
055773
GA
207RG0100X
Gastroenterology Physician
L4590
TX
207RG0100X
Gastroenterology Physician
Primary
ME92248
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
033581638A
GA
Enumeration date
08/07/2006
Last updated
09/12/2016
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