IndividualActive
Ananda Selvaraj, MD
NPI 1972598423 · Body Imaging Physician · Patrick Afb, FL
Provider details
- NPI number
- 1972598423
- Entity type
- Individual
- Primary specialty
- Body Imaging PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- ME0048301 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1281 S Patrick Dr
45th Medical Group
Patrick Afb, FL 32925-3604
Phone: (321) 494-6412
Fax: (321) 494-1378
Approximate (ZIP-level) locationGet directions
Mailing address
1790 Porpoise St
Merritt Island, FL 32952-5640
Registry dates
- Enumerated
- 2005-09-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.