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BHUPATIRAJU RAMA RAJU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
750 DESOTO AVE, BROOKSVILLE, FL 34601-2814
(352) 796-6721
(352) 754-0375
Mailing address
5350 SPRING HILL DR, SPRING HILL, FL 34606-4562
(352) 277-5348
(352) 606-2857

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0021368
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008054600
FL
05
054390000
FL
01
1551518
GHI
FL
01
189163
STAYWELL AND WELLCARE
FL
01
201943
AV MED
FL
01
26022
BLUE CROSS BLUE SHIELD
FL
01
4595765
AETNA
FL
01
5473411
FIRST HEALTH
FL
01
P00013910
RAIL ROAD MEDICARE
FL
01
P00984625
RR MCR
FL
01
P11197684
MULTIPLAN
FL
Enumeration date
07/06/2006
Last updated
04/21/2026
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