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Individual

DR. LATHA M CHAMARTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
ME65838
FL
207KA0200X
Allergy Physician
Primary
ME65838
FL
2080P0201X
Pediatric Allergy/Immunology Physician
ME65838
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
256994900
FL
05
256994901
FL
Enumeration date
12/08/2005
Last updated
09/14/2023
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