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Individual
SRAVAN K THANGEDA
Active
Individual
SRAVAN K THANGEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME122293
FL
208M00000X
Hospitalist Physician
ME122293
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036116994
MEDICARE
IL
01
—
920540
MEDICARE PTAN (GROUP)
IL
01
—
920540040
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
CA4748
MEDICARE RAILROAD (GROUP)
IL
01
—
P01349723
MEDICARE RAILROAD (INDIVIDUAL)
IL
Enumeration date
05/02/2007
Last updated
02/13/2026
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