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Ajay P Mahendrasah, DMD
Student in an Organized Health Care Education/Training Program in North Port, Florida
NPI 1801648944

Ajay P Mahendrasah is a Student in an Organized Health Care Education/Training Program based in North Port, FL. Ajay P Mahendrasah practices in North Port, FL and has the professional credentials of DMD. The NPI Number for Ajay P Mahendrasah is 1801648944 and holds a License No. (Florida).

The current practice location address for Ajay P Mahendrasah is 1328 Alpinia Rd, North Port, FL and can be reached out via phone at 941-979-2445.

Location: 1328 Alpinia Rd, North Port, FL, 34288-8594
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801648944
Provider Name
Ajay P Mahendrasah
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1328 Alpinia Rd, North Port, FL, 34288-8594
Phone Number
941-979-2445
Fax Number
Provider Enumeration Date
04/02/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1328 Alpinia Rd
City
North Port
State
Florida
Zip
34288-8594
Phone Number
941-979-2445
Fax Number
person
Provider Business Mailing Address Details
Address
1328 Alpinia Rd
City
North Port
State
Florida
Zip
34288-8594
Phone Number
941-979-2445
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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