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Contact Information

HIMABINDU GANDAM VENKATA, MD
761 STIRLING CENTER PL
LAKE MARY, FL32746
 Phone: 386-274-2977
 Fax: 386-274-2362
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for HIMABINDU GANDAM VENKATA · (Female)

NPI # 1730576679
Status Active
Credentials MD
Entity Individual
Enumeration date 04/17/2015
Last updated 08/06/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME15113
Hospital affiliation(s)
  • FLORIDA HOSPITAL FISH MEMORIAL - (Acute Care)
    1055 SAXON BLVD
    ORANGE CITY, FL 32763
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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