Individual
VASUDEVA R NALIPIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SARNO RD STE 119E, MELBOURNE, FL 32935-4938
(216) 101-5573
(321) 208-8717
Mailing address
1600 SARNO RD STE 119E, MELBOURNE, FL 32935-4938
(321) 254-2321
(321) 208-8717
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME96607
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277542500
—
FL
01
—
375952
WELLCARE
FL
01
—
7729582
AETNA
FL
01
—
92262
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/18/2007
Last updated
12/11/2023
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