Organization
SANKARA N DINAVAHI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANKARA N DINAVAHI M.D. (OWNER)
(352) 597-2009
Entity
Organization
Contact information
Practice address
11321 CORTEZ BLVD, BROOKSVILLE, FL 34613-5407
(352) 597-2009
Mailing address
11321 CORTEZ BLVD, BROOKSVILLE, FL 34613-5407
(352) 597-2009
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/29/2010
Last updated
07/01/2010
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