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Organization
KSHEMAL P MANKODI MD PA
Active
Organization
KSHEMAL P MANKODI MD PA
Active
Other names
Chapel Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KSHEMAL MANKODI M.D. (PRESIDENT)
(813) 994-4749
Entity
Organization
Contact information
Practice address
28959 WESLEY CHAPEL BLVD, WESLEY CHAPEL, FL 33543-3218
(813) 994-4749
(813) 994-0474
Mailing address
28959 WESLEY CHAPEL BLVD, WESLEY CHAPEL, FL 33543-3218
(813) 994-4749
(813) 994-0474
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME78449
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257244300
—
FL
Enumeration date
12/13/2011
Last updated
02/02/2012
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