Individual
DR. MEESHA KSHEMAL MANKODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2470 BLOOMINGDALE AVE STE 223, VALRICO, FL 33596-6403
(813) 689-7139
(813) 443-8157
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 532-1355
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME78663
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258352600
—
FL
Enumeration date
06/01/2005
Last updated
03/13/2019
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