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Individual

KAVITA MALHOTRA PATTANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 425-5203
Mailing address
22 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(407) 648-3800
(407) 425-5203

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
D68821
MD
207Y00000X
Otolaryngology Physician
PENDING
LA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
ME106709
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002055300
FL
05
022523100
MD
01
ME106709
MEDICAL LICENSE
FL
Enumeration date
05/22/2007
Last updated
07/01/2019
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