Individual
VAMSI KIRAN KODUMURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
258 S CHICKASAW TRL STE 203, ORLANDO, FL 32825-3558
(407) 303-6588
Mailing address
258 S CHICKASAW TRL STE 203, ORLANDO, FL 32825-3558
(407) 303-6588
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125050331
IL
207RI0011X
Interventional Cardiology Physician
70364
WI
207RI0011X
Interventional Cardiology Physician
Primary
ME156193
FL
Other
Enumeration date
08/21/2007
Last updated
05/25/2023
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