Nagarajan, Viswanathan
Nagarajan, Viswanathan is an sole proprietor health care provider with primary practice located at 14192 Metropolis Ave , Fort Myers FL 33912-4331. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Nagarajan, Viswanathan can be contacted via phone (239) 245-8223.Contact Information
Primary practice address
14192 Metropolis Ave
Fort Myers FL 33912-4331
Phone: (239) 245-8223
Fax: (239) 244-9481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 207809 | New York |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | ME92706 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME92706 | Florida |
Profile Details
| NPI number | 1043285141 |
|---|---|
| LBN Legal business name | Nagarajan, Viswanathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Dec 14th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043285141 | NPPES |
| Florida | Other | 14C54 | FLORIDA BLUE |
| Florida | MEDICAID | 020160600 | FLORIDA BLUE |
| Florida | MEDICAID | 01722265 | FLORIDA BLUE |
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