Selvaraj, Ananda
Selvaraj, Ananda is an individual health care provider with primary practice located at 1281 S Patrick Dr 45Th Medical Group, Patrick Afb FL 32925-3604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. Selvaraj, Ananda can be contacted via phone (321) 494-6412.Contact Information
Primary practice address
1281 S Patrick Dr 45Th Medical Group
Patrick Afb FL 32925-3604
Phone: (321) 494-6412
Fax: (321) 494-1378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | ME0048301 | Florida |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | A032311 | California |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 4301035614 | Michigan |
Profile Details
| NPI number | 1972598423 |
|---|---|
| LBN Legal business name | Selvaraj, Ananda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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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