Individual
SABANAYAGAM THANGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
533 MEDICAL OAKS AVE, BRANDON, FL 33511-5961
(813) 295-5800
(813) 689-8811
Mailing address
PO BOX 1997, BRANDON, FL 33509-1997
(813) 685-2191
(813) 689-8755
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0061427
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370264200
—
FL
Enumeration date
07/05/2006
Last updated
04/01/2019
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