Roshan K Vatthyam, MD
Internal Medicine, Clinical Cardiac Electrophysiology in Fort Myers, FL. Individual provider (NPI-1).
NPI number1992967319
StatusActive
Last updated in NPPESMar 30, 2021
Details
- NPI
- 1992967319
- Entity type
- Individual (NPI-1)
- Name
- Roshan K Vatthyam
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2008
- Certification date
- Mar 30, 2021
- Last updated
- Mar 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0001X | Internal Medicine, Clinical Cardiac Electrophysiology | ME109924 | FL | Yes |
| 207R00000X | Internal Medicine | ME109924 | FL | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | ME109924 | FL |
Practice location
9800 S Health Park DriveSuite 320
Fort Myers, FL 33908-3630
Phone 239-343-6350 · Fax 239-343-6358
Mailing address
Po Box 2147Fort Myers, FL 33902-2147
Phone 239-343-6350 · Fax 239-343-6358
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