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Provider Information for 1356397764

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. SUNEETH PATWARI M.D.

Gender: MALE

Individual NPI: 1356397764

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1356397764
Enumeration Date 2006-05-26
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 10334 LIGHTNER BRIDGE DR
TAMPA, FL 33626-1809
United States

Phone: 813-350-9398 | Fax: 813-414-9181
View Map External Link
Primary Practice Address 507 S MACDILL AVE
TAMPA, FL 33609-3038
United States

Phone: 813-350-9398 | Fax: 813-414-9181
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207R00000X - Internal Medicine FL ME77563