Individual
DR. NAGELLA RAVINDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4801 49TH ST N, ST PETERSBURG, FL 33709-3859
(727) 526-3468
(727) 526-3468
Mailing address
4801 49TH ST N, ST PETERSBURG, FL 33709-3859
(727) 526-3468
(727) 526-3468
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0036317
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065105200
—
FL
Enumeration date
09/14/2005
Last updated
06/23/2010
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