person
Chandra Shekar Babu Anavalamudi Thyagaraj
Pediatric Nurse Practitioner in Miramar, Florida
NPI 1851007553

Chandra Shekar Babu Anavalamudi Thyagaraj is a Pediatric Nurse Practitioner based in Miramar, FL and is specialized in Pediatrics. Chandra Shekar Babu Anavalamudi Thyagaraj practices in Miramar, FL. The NPI Number for Chandra Shekar Babu Anavalamudi Thyagaraj is 1851007553 and holds a License No. 11019662 (Florida).

The current practice location address for Chandra Shekar Babu Anavalamudi Thyagaraj is 8386 N Missionwood Cir, Miramar, FL and can be reached out via phone at 954-683-3617.

Location: 8386 N Missionwood Cir, Miramar, FL, 33025-2935
person
Provider Profile Details
NPI Number
1851007553
Provider Name
Chandra Shekar Babu Anavalamudi Thyagaraj
Credential
Provider Entity Type
Individual
Gender
Male
Address
8386 N Missionwood Cir, Miramar, FL, 33025-2935
Phone Number
954-683-3617
Fax Number
Provider Enumeration Date
01/25/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36176139 05 FL
institution
Provider Business Practice Location Address Details
Address
8386 N Missionwood Cir
City
State
Zip
33025-2935
Phone Number
954-683-3617
Fax Number
person
Provider Business Mailing Address Details
Address
8386 N Missionwood Cir
City
State
Zip
33025-2935
Phone Number
954-683-3617
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
11019662 (Florida)
Definition
Definition to come...
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