Individual
VIKRAM TARUGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
201 SW 16TH ST, OKEECHOBEE, FL 34974-6117
(863) 824-3447
(863) 824-3472
Mailing address
201 SW 16TH ST, OKEECHOBEE, FL 34974-6117
(863) 824-3447
(863) 824-3472
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME106111
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112076000
—
FL
01
—
146ZW
BCBS
FL
01
—
PP929
MEDICARE PTAN
FL
Enumeration date
05/24/2007
Last updated
03/15/2023
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