Individual
ANANTHI RATHINAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10931 DYLAN LOREN CIR, UNIT A, ORLANDO, FL 32825
(407) 218-4444
(321) 284-1514
Mailing address
10931 DYLAN LOREN CIR, ORLANDO, FL 32825-4449
(407) 218-4444
(321) 284-1514
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME94141
FL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME94141
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273514800
—
FL
01
—
29498
BCBS
FL
Enumeration date
04/18/2006
Last updated
05/14/2015
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