Individual
KIRANMAYI PALLA MUDDASANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4306 ALTON RD, MIAMI BEACH, FL 33140-2840
(305) 674-2121
Mailing address
1715 CALAIS DR, MIAMI BEACH, FL 33141-3510
(203) 843-7761
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
ME 124298
FL
Other
Enumeration date
10/03/2007
Last updated
07/20/2015
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