Individual
SETTY G VIRALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
(305) 661-1515
Mailing address
215 GRAND AVE, CORAL GABLES, FL 33133-4841
(305) 441-7179
(305) 448-7134
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME44954
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049998600
—
FL
Enumeration date
05/09/2006
Last updated
03/24/2021
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