Individual
RAMKISHAN RAO GUMMADAPU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 E ROLLINS AVE, ORLANDO, FL 32803
(407) 464-9516
(407) 464-9519
Mailing address
515 WEKIVA COMMONS CIRCLE, APOPKA, FL 32712
(407) 464-9516
(407) 464-9519
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME96494
FL
208M00000X
Hospitalist Physician
Primary
ME0096494
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276135100
—
FL
01
—
56386
BCBS
FL
Enumeration date
08/05/2006
Last updated
06/08/2017
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