Individual provider · Type 1 NPI
Ananda Selvaraj, MD
Body Imaging Physician · Patrick Afb, FL
NPI number
1972598423
Active
Practice location
1281 S Patrick Dr, 45th Medical Group
Patrick Afb, FL 32925-3604
Fax (321) 494-1378
Mailing address
1790 Porpoise St
Merritt Island, FL 32952-5640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Body Imaging Physician Primary | 2085B0100X | ME0048301 (FL) |
| Body Imaging Physician | 2085B0100X | A032311 (CA) |
| Body Imaging Physician | 2085B0100X | 4301035614 (MI) |
Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.
About NPI 1972598423
Ananda Selvaraj, MD's National Provider Identifier is 1972598423, issued on Sep 12, 2005. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in Patrick Afb, FL. The record was last updated on Jul 13, 2026.