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GRACE SARVOTHAM MD NPI 1316202682


NPI Information

NPI: 1316202682
Provider Name: GRACE SARVOTHAM MD
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Organization

Specialization: Obstetrics

Address:
630 MAIN ST
ALTAMONTE SPRINGS, FL
ZIP 32701
Phone: (407) 339-6148
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GRACE SARVOTHAM MD is an obstetrics obstetrics gynecology in Altamonte Springs, FL. GRACE SARVOTHAM MD NPI is 1316202682. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

630 MAIN ST
ALTAMONTE SPRINGS, FL
ZIP 32701-413
Phone: (407) 339-6148
Fax: (407) 339-0254

The provider's authorized official is Sameena Parvez .
The authorized official title is Administrator and has the following contact phone number (407) 339-6148.

The enumeration date for this NPI number is 7/11/2012 and was last updated on 7/11/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0000XObstetrics & GynecologyObstetricsME42498FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1068265900MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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