Individual
MADHUSHREE DESIRAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9145 NARCOOSSEE RD STE 103, ORLANDO, FL 32827-5768
(407) 243-2040
(407) 243-2043
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4127
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME78762
FL
208D00000X
General Practice Physician
Primary
ME78762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258496400
—
FL
01
—
591859126
TAX ID
—
Enumeration date
05/12/2006
Last updated
03/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us