Individual
NAVEEN PUNCHAYIL NARAYANANKUTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 974-2201
(813) 974-4325
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD448859
PA
207RN0300X
Nephrology Physician
Primary
ME147708
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110642600
—
FL
01
—
K19YW
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/30/2010
Last updated
07/23/2021
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