Organization
ANUPAM K. MOHANTY, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANUPAM KUMAR MOHANTY MD (OWNER)
(786) 648-7200
Entity
Organization
Contact information
Practice address
2520 S DIXIE HWY, MIAMI, FL 33133-3137
(786) 648-7200
(786) 648-7211
Mailing address
601 BRICKELL KEY DR STE 700, MIAMI, FL 33131-2649
(305) 912-6659
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578743381
COMMERCIAL
FL
Enumeration date
02/13/2019
Last updated
03/11/2020
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