Individual
SUDARSAN R KAMISETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
681 W LUMSDEN RD, BRANDON, FL 33511-5911
(813) 655-7726
(813) 655-5617
Mailing address
681 W LUMSDEN RD, BRANDON, FL 33511-5911
(813) 655-7726
(813) 655-5617
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME70832
FL
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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