Individual
BHARANI PINISETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 475-5984
Mailing address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 475-5984
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51632
WI
207RI0200X
Infectious Disease Physician
Primary
ME113338
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51632
WI STATE LICENSE NUMBER
WI
01
—
P01110328
RAILROAD MEDICARE - FL
FL
Enumeration date
06/10/2008
Last updated
10/16/2024
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