Individual provider · Type 1 NPI
Shevanti Manjula Jegasothy, MD
Specialist · Coral Gables, FL
NPI number
1639197288
Active
Practice location
135 San Lorenzo Ave Ste 870
Coral Gables, FL 33146-1879
Fax (305) 569-0110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | ME0071046 (FL) |
| Dermatology Physician | 207N00000X | ME0071046 (FL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1639197288
Shevanti Manjula Jegasothy, MD's National Provider Identifier is 1639197288, issued on Jul 18, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Coral Gables, FL. The record was last updated on Feb 12, 2013.