Organization
RAMAKRISHNA P KANURI M.D.P.A.
Active
Other names
Hernando Gastroenterology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMAKRISHNA P KANURI M.D. (PRESIDENT)
(352) 597-1208
Entity
Organization
Contact information
Practice address
12190 CORTEZ BLVD, BROOKSVILLE, FL 34613-5578
(352) 597-1206
(352) 597-1208
Mailing address
12190 CORTEZ BLVD, BROOKSVILLE, FL 34613-5578
(352) 597-1206
(352) 597-1208
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45467
BCBS GRP #
FL
Enumeration date
06/11/2006
Last updated
04/10/2008
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