Sankara N Dinavahi Md Pa | |
11321 Cortez Blvd Brooksville FL 34613-5407 | |
(352) 597-2009 | |
Not Available |
Full Name | Sankara N Dinavahi Md Pa |
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Speciality | General Practice |
Location | 11321 Cortez Blvd, Brooksville, Florida |
Authorized Official Name and Position | Sankara N Dinavahi (OWNER) |
Authorized Official Contact | 3525972009 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sankara N Dinavahi Md Pa 11321 Cortez Blvd Brooksville FL 34613-5407 Ph: (352) 597-2009 | Sankara N Dinavahi Md Pa 11321 Cortez Blvd Brooksville FL 34613-5407 Ph: (352) 597-2009 |
NPI Number | 1841515277 |
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Provider Enumeration Date | 03/29/2010 |
Last Update Date | 07/01/2010 |
Medicare PECOS PAC ID | 5193849883 |
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Medicare Enrollment ID | O20100901001019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841515277 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Sankara Dinavahi |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1407800691 PECOS PAC ID: 9638293327 Enrollment ID: I20100902000665 |
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