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1790881068
PRASANNA KUMAR BASAVEGOWDA
CORAL GABLES, FL
NPI
1790881068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: FL ME 76168)
Enumeration Date
2006-09-15
Last Update Date
2007-07-08
Business Address
-- PRASANNA KUMAR BASAVEGOWDA MD
5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146-2423
Phone number: 305-662-8668
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Mailing Address
-- PRASANNA KUMAR BASAVEGOWDA MD
5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146-2423
Phone number: 305-662-8668
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