Chudasama, Pradyuman M
Chudasama, Pradyuman M is an individual health care provider with primary practice located at 3641 Clyde Morris Blvd Ste 100 , Port Orange FL 32129-2357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Chudasama, Pradyuman M can be contacted via phone (386) 675-4410.Contact Information
Primary practice address
3641 Clyde Morris Blvd Ste 100
Port Orange FL 32129-2357
Phone: (386) 675-4410
Fax: (866) 542-5859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME66912 | Florida |
Profile Details
| NPI number | 1306827027 |
|---|---|
| LBN Legal business name | Chudasama, Pradyuman M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Nov 29th, 2021 - about 5 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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