Individual
BHAGIRATHY SAHASRANAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2900 W PROSPECT RD, FORT LAUDERDALE, FL 33309-2519
(954) 731-5100
Mailing address
2900 W. PROSPECT ROAD, FORT LAUDERDALE, FL 33309
(954) 731-5100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME0048631
FL
2084P0800X
Psychiatry Physician
Primary
ME0048631
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048791102
—
FL
05
—
0487911100
—
FL
Enumeration date
03/02/2007
Last updated
07/21/2022
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