Individual
DR. ANIRUDH PENUMAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4302 ALTON RD STE 810, MIAMI BEACH, FL 33140-2893
(305) 363-6237
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
MD19639
RI
207T00000X
Neurological Surgery Physician
Primary
ME173547
FL
390200000X
Student in an Organized Health Care Education/Training Program
272675
MA
Other
Enumeration date
06/21/2017
Last updated
08/04/2025
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