Provider Demographics
NPI:1649488735
Name:DEBNATH, INDRANIL (MD)
Entity type:Individual
Prefix:DR
First Name:INDRANIL
Middle Name:
Last Name:DEBNATH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7251 UNIVERSITY BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-8659
Mailing Address - Country:US
Mailing Address - Phone:407-677-0099
Mailing Address - Fax:407-352-1867
Practice Address - Street 1:7251 UNIVERSITY BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-8659
Practice Address - Country:US
Practice Address - Phone:407-677-0099
Practice Address - Fax:407-352-1867
Is Sole Proprietor?:No
Enumeration Date:2007-05-20
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2004001440207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology