Individual
DR. KALYANI R MEDURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6340 FORT KING RD, ZEPHYRHILLS, FL 33542-2531
(813) 782-6116
(813) 780-1015
Mailing address
6340 FORT KING RD, ZEPHYRHILLS, FL 33542-2531
(813) 782-6116
(813) 780-1015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036121876
IL
207R00000X
Internal Medicine Physician
39329
IA
207R00000X
Internal Medicine Physician
ME141486
FL
207RG0100X
Gastroenterology Physician
MD456022
PA
207RG0100X
Gastroenterology Physician
Primary
ME141486
FL
Other
Enumeration date
10/14/2008
Last updated
05/05/2021
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