Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | ME124872 | FL |
NPI | 1013081520 |
---|---|
Provider Name | Naveen Sundher Gandreti |
First Address | Ft Lauderdale, FL 33309-3300 |
Second Address | Ft. Lauderdale, FL 33316 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 15/10/2015 |