Individual
SUNDEEP MEDIRATTA
Active
Individual
SUNDEEP MEDIRATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
ME85297
FL
207RC0000X
Cardiovascular Disease Physician
ME85297
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265507100
—
FL
01
—
ME85297
MEDICAL LICENSE
FL
Enumeration date
04/01/2006
Last updated
11/28/2023
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