Provider Demographics
NPI:1396002044
Name:SAI THANMYE ASSOCIATES, LLC
Entity Type:Organization
Organization Name:SAI THANMYE ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADINARAYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAGUDU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:321-432-2995
Mailing Address - Street 1:469 N HARBOR CITY BLVD
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-6857
Mailing Address - Country:US
Mailing Address - Phone:321-254-2321
Mailing Address - Fax:
Practice Address - Street 1:469 N HARBOR CITY BLVD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-6857
Practice Address - Country:US
Practice Address - Phone:321-254-2321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-19
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96930207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty