Individual
SUJANI AKKINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 780-2155
(813) 715-1215
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 780-1255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME107752
FL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
ME107752
FL
208M00000X
Hospitalist Physician
ME107752
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003762700
—
FL
01
—
P01024254
RR MEDICARE
FL
Enumeration date
07/03/2008
Last updated
10/20/2021
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