Individual
DR. SREEVIDYA KANNOORPATTI SUBBARAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-8661
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-8661
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PT 11070
ND
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME112906
FL
Other
Enumeration date
01/21/2009
Last updated
07/26/2012
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