ANANDA - SELVARAJ , MD in PATRICK AFB - NPI - 1972598423
ANANDA SELVARAJ is a dentist based out of MERRITT ISLAND,Florida ANANDA practices in PATRICK AFB,Florida and has the professional credentials of MD .The NPI Number for ANANDA SELVARAJ is 1972598423 and he holds a Licence No. 4301035614(Florida).
ANANDA current practice location address is 1790 PORPOISE ST,,MERRITT ISLAND,Florida and he can be reached out via phone at 3214946412 and via fax at3214941378. You can also correspond with ANANDA SELVARAJ through mail at his mailing address at1281 S PATRICK DR,45TH MEDICAL GROUP,PATRICK AFB,Florida – 329253604 (mailing address contact number – 329525640).
Provider Profile Details
| NPI Number | 1972598423 |
| Provider Name | ANANDA SELVARAJ |
| MD | |
| Gender | 39271 |
| Provider Entity Type | Individual |
| Provider Enumeration Date | 2085B0100X |
| Last Update Date | 38607 |
Provider Business Mailing Address Details
| Address | 1790 PORPOISE ST, |
| City | MERRITT ISLAND |
| State | Florida |
| Zip | 329525640 |
| Phone Number | 3214592594 |
Provider Business Practice Location Address Details
| Address | 1281 S PATRICK DR,45TH MEDICAL GROUP |
| City | PATRICK AFB |
| State | Florida |
| Zip | 329253604 |
| Phone Number | 3214946412 |
Provider's Primary Taxonomy Details
| Taxonomy | 2085B0100X |
| License No. | 4301035614 |
| State | Florida |