Individual
NAGESWARARAO V KANUMURI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 S 11TH ST, LAKE WALES, FL 33853-4203
(772) 402-0064
Mailing address
PO BOX 2327, LAKE WALES, FL 33859-2327
(772) 402-0064
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME86214
FL
Other
Enumeration date
05/25/2006
Last updated
07/09/2007
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