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Individual

RAMANA V AMARAVADI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
14020 N 46TH ST, TAMPA, FL 33613-4018
(813) 972-2000
(813) 972-7605
Mailing address
14020 N 46TH ST, TAMPA, FL 33613-4018
(813) 972-2000
(813) 972-7605

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME0038310
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00220
WELLCARE
01
0073614
GHI
05
053214200
FL
01
082134
AUMED
01
2289630
AETNA/HUMANA
01
28001
UMC
01
290014402
RR MEDICARE
01
51145
BLUE CROSS BLUE SHIELD
01
82134
METRA HEALTH
Enumeration date
09/13/2005
Last updated
09/29/2011
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