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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851007553 NPPES
Florida MEDICAID 36176139

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