Anavalamudi Thyagaraj, Chandra Shekar Babu
Anavalamudi Thyagaraj, Chandra Shekar Babu is an sole proprietor health care provider with primary practice located at 8386 N Missionwood Cir , Miramar FL 33025-2935. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Anavalamudi Thyagaraj, Chandra Shekar Babu can be contacted via phone (954) 683-3617.Contact Information
Primary practice address
8386 N Missionwood Cir
Miramar FL 33025-2935
Phone: (954) 683-3617
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 11019662 | Florida |
Profile Details
| NPI number | 1851007553 |
|---|---|
| LBN Legal business name | Anavalamudi Thyagaraj, Chandra Shekar Babu |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2023 |
| Last updated | Jan 25th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851007553 | NPPES |
| Florida | MEDICAID | 36176139 |
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