# DESARAJU AND KOMPELLA MDS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Citrus Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649781352
- **Authorized official:** MR. CHAKRADHAR DESARAJU MD (OWNER)
- **Authorized official phone:** (352) 795-6560

## Contact information

- **Practice address:** 2484 N ESSEX AVE, HERNANDO, FL 34442-5321
- **Practice address phone:** (352) 746-1358
- **Mailing address:** 3600 N GRAYHAWK LOOP, LECANTO, FL 34461
- **Mailing address phone:** (352) 746-1358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME93164 | FL | Yes |

## Other

- **Enumeration date:** 10/20/2017
- **Last updated:** 07/09/2021