Individual
ADITYA MANJUL DERASARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 243-3000
Mailing address
PO BOX 16960, MIAMI, FL 33101-6960
(301) 243-3000
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
276427
NY
Other
Enumeration date
04/14/2008
Last updated
12/18/2024
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