Ananda Selvaraj, MD is a
Radiology - Body Imaging physician based in Patrick Afb, Florida. Ananda Selvaraj is licensed to practice in Florida (license number ME0048301) and his current practice location is 1281 S Patrick Dr, 45th Medical Group, Patrick Afb, Florida. He can be reached at his office (for appointments etc.) via phone at
(321) 494-6412.
NPI number for Ananda Selvaraj is 1972598423 and his current mailing address is 1790 Porpoise St, Merritt Island, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972598423.
Physician's Profile
| Full Name | Ananda Selvaraj |
|---|
| Gender | Male |
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| Speciality | Radiology - Body Imaging |
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| Location | 1281 S Patrick Dr, Patrick Afb, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1972598423
- Provider Enumeration Date: 09/12/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ananda Selvaraj such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972598423 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085B0100X | Radiology - Body Imaging | ME0048301 (Florida) | Primary |
| 2085B0100X | Radiology - Body Imaging | A032311 (California) | Secondary |
| 2085B0100X | Radiology - Body Imaging | 4301035614 (Michigan) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ananda Selvaraj is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ananda Selvaraj, MD
1790 Porpoise St,
Merritt Island, FL 32952-5640
Ph: (321) 459-2594 | Ananda Selvaraj, MD
1281 S Patrick Dr, 45th Medical Group,
Patrick Afb, FL 32925-3604
Ph: (321) 494-6412 |
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