Individual
ANUSHA MITTAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
316 DEL PRADO BLVD S, CAPE CORAL, FL 33990-1710
(239) 314-1616
(239) 772-1613
Mailing address
PO BOX 919771, ORLANDO, FL 32891-9771
(239) 278-3600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME144681
FL
Other
Enumeration date
07/18/2017
Last updated
09/30/2020
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