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Individual
DR. KSHEMAL MANKODI
Active
Individual
DR. KSHEMAL MANKODI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME78449
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00-00649
UNITED MEDICARE COMPLETE
FL
01
—
01-09835
UNITED HEALTHCARE
FL
01
—
06089
UNIVERSAL HEALTHCARE
FL
01
—
15107
ALL FLORIDA PPO
FL
01
—
200901200
DEPARTMENT OF LABOUR ACS
FL
01
—
2095583
FIRST HEALTH
FL
01
—
213352
WELLCARE
FL
01
—
214085-09
AMERIGROUP
FL
05
—
257244300
—
FL
01
—
287443
AVMED
FL
01
—
49434
BLUE CROSS BLUE SHIELD
FL
01
—
5893655
CIGNA
FL
01
—
7732052
AETNA
FL
01
—
885456
USA MANAGED CARE ORG.
FL
Enumeration date
06/10/2006
Last updated
11/04/2011
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