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DR. BANSIDAS M AGRAVAT M.D
>> Emergency Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1124092044
Individual Registrant:DR. BANSIDAS M AGRAVAT M.D
Gender: M
Gender: M
Location and contact information for practice:
1300 MICCOSUKEE RD TALLAHASSEE, FL 32308-5054 US
Tel: 850-431-0756 Fax: 850-431-0779
Tel: 850-431-0756 Fax: 850-431-0779
Contact information for business:
1300 MICCOSUKEE RD TALLAHASSEE, FL 32308-5054 US
Tel: 850-431-0756 Fax: 850-431-0779
Tel: 850-431-0756 Fax: 850-431-0779
Registration Information:
NPI: 1124092044
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207P00000X | Allopathic & Osteopathic Physicians Emergency Medicine | FL | ME25973 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
