ABHAY THANDAVARAM MD
NPI 1407748387
Student in an Organized Health Care Education/Training Program in Sebring, FL

Q: What is Abhay Thandavaram's NPI number?

The NPI number for Abhay Thandavaram is 1407748387. It was assigned to this individual provider in the NPPES registry on July 16, 2025.

Q: What is Abhay Thandavaram's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Abhay Thandavaram was last updated on July 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 16, 2025PECOS Enrolled

4325 SUN N LAKE BLVD STE 105, SEBRING, FL 33872(863) 402-3763 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Abhay Thandavaram Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABHAY THANDAVARAM MD (NPI 1407748387) is an individual student in an organized health care education/training program in Sebring, Florida, licensed in Florida (TRN42232) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407748387

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameABHAY THANDAVARAMCredential: MD

Location Address4325 SUN N LAKE BLVD STE 105Sebring, FL 33872-2171

Mailing Address4325 Sun N Lake Blvd Ste 105Sebring, FL 33872-2171 · (863) 402-3763

Phone(863) 402-3763

Sole ProprietorYes

Enumeration DateJuly 16, 2025

NPPES CertifiedJuly 16, 2025

✔ NPI 1407748387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in FL · TRN42232

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4325 SUN N LAKE BLVD STE 105, Sebring, FL 33872

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abhay Thandavaram Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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