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Individual
PRUDHVI RAJAN KARUMANCHI
Active
Individual
PRUDHVI RAJAN KARUMANCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME126502
FL
208M00000X
Hospitalist Physician
ME126502
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018568200
—
FL
01
—
036126553
STATE MEDICAL BOARD
IL
01
—
068002136
MEDICARE PTAN
KS
01
—
125050813
PHYSICIAN TEMPORARY LICEN
IL
05
—
200738900A
—
KS
01
—
511630601949-003
MEDICARE
FL
01
—
ME126502
STATE MEDICAL BOARD
FL
01
—
XQ080
MEDICARE
FL
Enumeration date
03/04/2008
Last updated
08/05/2026
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