Individual
DR. VIJAYAKRISHNA GADIYARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 PINELLAS ST STE 220, CLEARWATER, FL 33756-3318
(727) 462-3692
(727) 266-4935
Mailing address
400 PINELLAS ST STE 220, CLEARWATER, FL 33756-3318
(727) 462-3692
(727) 266-4935
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME114800
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008029700
—
FL
01
—
P01201694
RAILROAD MEDICARE PROVIDER NUMBER
FL
Enumeration date
05/31/2007
Last updated
08/15/2022
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