Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | A169463 | CA |
NPI | 1649701731 |
---|---|
Provider Name | Mruga Nanavati |
First Address | Gainesville, FL 32610-3001 |
Second Address | Gainesville, FL 32609-3650 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2017 |
Last Update Date | 16/07/2021 |