Individual
DR. HEMA MADHAVI VANKAYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2370 MARKET DR, FLEMING ISLAND, FL 32003-4326
(904) 264-6201
(904) 264-6858
Mailing address
7015 A C SKINNER PKWY STE 1, JACKSONVILLE, FL 32256-6932
(904) 363-2113
(904) 363-2606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301084093
MI
207RH0003X
Hematology & Oncology Physician
4301084093
MI
207RH0003X
Hematology & Oncology Physician
Primary
ME132894
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021329800
—
FL
01
—
JA165Z
MEDICARE
FL
01
—
NBBWU
BCBS
FL
Enumeration date
05/21/2007
Last updated
07/21/2022
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