Provider Demographics
NPI:1992708382
Name:SAWARDEKAR, MRANALI S (DO)
Entity type:Individual
Prefix:
First Name:MRANALI
Middle Name:S
Last Name:SAWARDEKAR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8115 CRUSHED PEPPER AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-2319
Mailing Address - Country:US
Mailing Address - Phone:407-677-4769
Mailing Address - Fax:407-677-4775
Practice Address - Street 1:3586 ALOMA AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-4010
Practice Address - Country:US
Practice Address - Phone:407-677-4769
Practice Address - Fax:407-677-4775
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS9823208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
I10635Medicare UPIN