Anand Raj Mahadevan, MD
Internal Medicine in Fort Myers, FL. Individual provider (NPI-1).
NPI number1245238245
StatusActive
Last updated in NPPESDec 30, 2014
Details
- NPI
- 1245238245
- Entity type
- Individual (NPI-1)
- Name
- Anand Raj Mahadevan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 13, 2005
- Last updated
- Dec 30, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | me86995 | FL | Yes |
Practice location
13607 Pine Villa LnFort Myers, FL 33912-1617
Phone 239-887-7372
Mailing address
13607 Pine Villa LnFort Myers, FL 33912-1617
Phone 239-887-7372
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