Individual
RAMIZ GUNDKALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(352) 867-8898
(352) 732-6282
Mailing address
PO BOX 106002, ATLANTA, GA 30348-6002
(352) 867-8898
(352) 732-6282
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME91287
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271140100
—
FL
01
—
52100
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/22/2005
Last updated
07/08/2007
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