Individual
DR. KALYANI GADDIPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
917 RINEHART RD, SUITE 2051, LAKE MARY, FL 32746-4802
(407) 936-2444
Mailing address
917 RINEHART RD, SUITE 2051, LAKE MARY, FL 32746-4802
(407) 936-2444
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME74348
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100016196
RAILROAD MEDICARE
—
05
—
254587000
—
FL
01
—
2745785
AETNA
—
01
—
3542
FHHS
—
01
—
43554
BCBS
—
01
—
5702044007
CIGNA
—
Enumeration date
05/25/2006
Last updated
05/15/2024
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