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NPI Code Detail

MEDICARE: DHARSHINI YOGENDRA

MEDICARE: DHARSHINI YOGENDRA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianME116392FL

General Provider Information

NPI Number : 1720391857
Entity Type Code : Individual
Provider Name (Legal Business Name) : DHARSHINI YOGENDRA
Provider Business Mailing Address
First Line : PO BOX 1137
Second Line :
City : MELBOURNE
State : FL
Zip : 32902-1137
Country : US
Telephone Number : 321-952-9696
Fax Number : 321-952-7937
Provider Business Practice Location Address
First Line : 2120 SARNO RD
Second Line :
City : MELBOURNE
State : FL
Zip : 32935-3084
Country : US
Telephone Number : 321-241-6800
Fax Number : 321-241-6890
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2010
Last Update Date : 02/02/2026

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Directions to “ DHARSHINI YOGENDRA ” Practice Location

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