Individual
JAGAN S. AKELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6400 MANATEE AVE W, STE A, BRADENTON, FL 34209-2357
(941) 794-9000
(941) 729-1382
Mailing address
PO BOX 1135, BRADENTON, FL 34206-1135
(941) 794-9000
(941) 729-1382
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME101828
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME101828
STATE LICENSE NUMBER
FL
Enumeration date
02/10/2007
Last updated
05/04/2011
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