Individual
DR. RAMESH SOMAYAJULA AYYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13127 USF MAGNOLIA DRIVE, MDC 21, TAMPA, FL 33612-0000
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
13072R
LA
207W00000X
Ophthalmology Physician
Primary
ME135486
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024727100
—
FL
05
—
1558486
—
LA
01
—
O9M6F
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/22/2006
Last updated
03/30/2021
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