Wednesday, August 10, 2022

ANANDA – SELVARAJ , MD in PATRICK AFB – NPI – 1972598423

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

Credential
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

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