Individual
DR. BANDISH PRAVIN CHUDASAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5151 N 9TH AVE, PENSACOLA, FL 32504-8721
(850) 416-6108
Mailing address
4451 BAYOU BLVD, PENSACOLA, FL 32503-2601
(850) 416-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
UO3617
FL
208M00000X
Hospitalist Physician
Primary
OS13023
FL
Other
Enumeration date
06/25/2013
Last updated
03/13/2019
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