Individual
SHYAM KUMAR RAJENDRA INJETY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMS, PA-C
Contact information
Practice address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 293-1121
Mailing address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4193
(863) 293-1121
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9108987
FL
Other
Enumeration date
11/16/2015
Last updated
05/12/2020
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