Individual
DR. ARCHANA PUDUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3745 33RD ST N, ST PETERSBURG, FL 33713-1506
(727) 525-0006
(727) 521-3694
Mailing address
PO BOX 1830, CLEARWATER, FL 33757-1830
(727) 532-0002
(727) 532-1318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME102749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001163700
—
FL
01
—
P00791386
RAILROAD MEDICARE PROVIDER NUMBER
FL
Enumeration date
06/01/2008
Last updated
03/09/2010
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