Individual
DR. VASUDHA VISWANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 E SAMPLE RD, DEERFIELD BEACH, FL 33064-3502
(954) 485-5666
(954) 484-1651
Mailing address
3601 W COMMERCIAL BLVD, STE 5, FORT LAUDERDALE, FL 33309-3392
(718) 960-6551
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
001983
NY
207L00000X
Anesthesiology Physician
Primary
ME87163
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018208000
—
FL
05
—
02553684
—
NY
Enumeration date
07/15/2006
Last updated
10/24/2019
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