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Individual

DR. AUNALI S KHAKU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
473 MOHAVE TER, LAKE MARY, FL 32746-7017
(786) 245-3110
(888) 613-6275
Mailing address
473 MOHAVE TER, LAKE MARY, FL 32746-7017
(786) 245-3110
(407) 345-9765

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME114611
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104800500
FL
01
14Z2Z
BCBS FL
FL
Enumeration date
05/27/2009
Last updated
02/23/2021
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