IndividualActive
Abhay Thandavaram, MD
NPI 1407748387 · Student in an Organized Health Care Education/Training Program · Sebring, FL
Provider details
- NPI number
- 1407748387
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- TRN42232 (FL)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense TRN42232 (FL)
Student, Health Care
Practice location
4325 Sun N Lake Blvd Ste 105
Sebring, FL 33872-2171
Phone: (863) 402-3763
Approximate (ZIP-level) locationGet directions
Mailing address
4325 Sun N Lake Blvd Ste 105
Sebring, FL 33872-2171
Registry dates
- Enumerated
- 2025-07-16
- Last updated
- 2025-07-16
- Certified
- 2025-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.