Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | ME79993 | FL |
N | 208600000X | Surgeon | ME79993 | FL |
Y | 2086S0129X | Vascular Surgeon | ME79993 | FL |
NPI | 1154316727 |
---|---|
Provider Name | Dr. Arul B Chidambaram |
First Address | Greenacres, FL 33463-3009 |
Second Address | Loxahatchee, FL 33470-9212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2005 |
Last Update Date | 12/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H24353 | (02) |