Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Suresh Kandavanam, MD

Individual provider Family Medicine Physician · NPI 1689025009

Dr. Suresh Kandavanam, MD is a General Practice in Daytona Beach, Florida. Graduated from University of Oklahoma College of Medicine in 2016, 10 years ago. Practices with Ormond Medical Arts, a 38-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Trained at
University of Oklahoma College of Medicine
Licensed in
FL
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

201 N Clyde Morris Blvd Ste 200
Daytona Beach, FL 32114-2724
Phone: (386) 425-4165
Fax: (386) 425-7545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence TRN23599 (FL)

Record details

NPI number1689025009
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2016
Last updated in NPPESJune 27, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Ormond Medical Arts — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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