Individual
CHANDRA MALINI DONDAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
501 E KING ST, ORLANDO, FL 32803-1205
(407) 303-1558
Mailing address
PO BOX 940973, MAITLAND, FL 32794-0973
(407) 303-1558
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS11553
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
OS11553
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004862800
—
FL
Enumeration date
07/12/2007
Last updated
07/31/2020
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