Individual
SANTOSH KAGATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3501 HEALTH CENTER BLVD STE 1119, ESTERO, FL 34135-8135
(239) 343-9567
(239) 343-9571
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(393) 439-5672
(239) 343-9571
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME169326
FL
207RX0202X
Medical Oncology Physician
ME169326
FL
208M00000X
Hospitalist Physician
ME143730
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108182300
—
FL
01
—
2MZJX
BCBS
FL
Enumeration date
05/16/2016
Last updated
02/19/2025
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