Kandavanam, Suresh

Kandavanam, Suresh is an individual health care provider with primary practice located at 201 N Clyde Morris Blvd Suite 200, Daytona Beach FL 32114-2724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kandavanam, Suresh can be contacted via phone (386) 425-4165.

Contact Information

Primary practice address
201 N Clyde Morris Blvd Suite 200 Daytona Beach FL 32114-2724
Phone: (386) 425-4165
Fax: (386) 425-7545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X TRN23599 Florida

Profile Details

NPI number 1689025009
LBN Legal business name Kandavanam, Suresh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2016
Last updated Jun 27th, 2016 - about 10 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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