Individual
SOWMYA KANTAMNENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610
(352) 273-8610
Mailing address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-8610
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME134138
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2013
Last updated
03/26/2019
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