Wednesday, August 10, 2022

ANANDAVALLI – KRISHNAMOORTHY , MD in LAKELAND – NPI – 1205821287

ANANDAVALLI - KRISHNAMOORTHY , MD in LAKELAND - NPI - 1205821287

ANANDAVALLI KRISHNAMOORTHY is a dentist based out of AVON PARK,Florida ANANDAVALLI practices in LAKELAND,Florida and has the professional credentials of MD .The NPI Number for ANANDAVALLI KRISHNAMOORTHY is 1205821287 and he holds a Licence No. ME79252(Florida).

ANANDAVALLI current practice location address is 950 COUNTY ROAD 17A W,,AVON PARK,Florida and he can be reached out via phone at 8634138600 and via fax at8634138650. You can also correspond with ANANDAVALLI KRISHNAMOORTHY through mail at his mailing address at936 E PARKER ST,,LAKELAND,Florida – 338011968 (mailing address contact number – 338252164).

Provider Profile Details

Credential
NPI Number 1205821287
Provider Name ANANDAVALLI KRISHNAMOORTHY
MD
Gender 39589
Provider Entity Type Individual
Provider Enumeration Date 207P00000X
Last Update Date 38610

Provider Business Mailing Address Details

Address 950 COUNTY ROAD 17A W,
City AVON PARK
State Florida
Zip 338252164
Phone Number 8634523060

Provider Business Practice Location Address Details

Address 936 E PARKER ST,
City LAKELAND
State Florida
Zip 338011968
Phone Number 8634138600

Provider's Primary Taxonomy Details

Taxonomy 207P00000X
License No. ME79252
State Florida

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