SHOBA THEIVANAYAGAM

KISSIMMEE, FL
NPI1730388067
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: FL  ME148442)
Enumeration Date2007-07-17
Last Update Date2021-10-27
Business Address
Dr. SHOBA THEIVANAYAGAM M.D
812 W OAK ST
KISSIMMEE, FL 34741-6625
Phone number: 407-201-3686
Mailing Address
Dr. SHOBA THEIVANAYAGAM M.D
PO BOX 782009
ORLANDO, FL 32878-2009
Phone number: 407-201-3686
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