Individual
DR. AGASANAKATTE PALAKSHAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 BEVERLY AVE, MUSCLE SHOALS, AL 35661-3255
(256) 383-1160
(256) 381-2499
Mailing address
7111 FAIRWAY DR, SUITE 400, PALM BEACH GARDENS, FL 33418-4204
(561) 712-6265
(561) 712-7349
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
14545
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121362
—
MS
Enumeration date
01/13/2006
Last updated
10/18/2007
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