Provider Demographics
NPI:1891971271
Name:SEEVARATNAM, ANDREW R (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:R
Last Name:SEEVARATNAM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1834 SW 1ST AVE
Mailing Address - Street 2:STE 101 OCALA LUNG AND CRITICAL CARE ASSOCIATES
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-8101
Mailing Address - Country:US
Mailing Address - Phone:352-732-5552
Mailing Address - Fax:
Practice Address - Street 1:1834 SW 1ST AVE STE 101
Practice Address - Street 2:OCALA LUNG AND CRITICAL CARE
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-8101
Practice Address - Country:US
Practice Address - Phone:352-732-5552
Practice Address - Fax:352-732-1131
Is Sole Proprietor?:No
Enumeration Date:2008-01-15
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME106564207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002281100Medicaid
FL002281100Medicaid