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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANANDA SELVARAJ, MD

Active

ANANDA SELVARAJ, MD is a Body Imaging healthcare provider located in PATRICK AFB, Florida. NPI 1972598423 is currently active in the NPPES registry. Verify at CMS.

Body Imaging · PATRICK AFB, FL

Registration Details

NPI Number
1972598423
Provider Type
Individual
Gender
Male
NPI Issued
Sep 12, 2005 (20.926804976735 yrs)
Last Updated
Jul 8, 2007
Licenses
ME0048301 (FL)
A032311 (CA)
4301035614 (MI)

Practice Information

Address
1281 S PATRICK DR
45TH MEDICAL GROUP
PATRICK AFB, FL, 329253604
Browse FL providers · Browse ZIP 32925
Phone
3214946412
Fax
3214941378
Primary Specialty
Body Imaging
2085B0100X
Additional Specialty
Body Imaging
Additional Specialty
Body Imaging
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.