Individual
SOUNDARAPANDIAN BASKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1703 MAYO DR, TAVARES, FL 32778-4307
(352) 383-5200
(352) 383-3534
Mailing address
PO BOX 1345, MOUNT DORA, FL 32756-1345
(352) 383-5200
(352) 383-3534
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME93145
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273964000
—
FL
Enumeration date
10/19/2005
Last updated
05/05/2011
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