Individual
DR. RATNAMANI LINGAMALLU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
515 E GARDEN ST, LAKELAND, FL 33805-4615
(863) 683-5454
(863) 683-4652
Mailing address
PO BOX 878, DAVENPORT, FL 33836-0878
(689) 223-3898
(689) 223-3898
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME66958
FL
207K00000X
Allergy & Immunology Physician
ME66958
FL
207Y00000X
Otolaryngology Physician
Primary
ME66958
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02827
WELLCARE
—
01
—
1095684-005
CIGNA
—
01
—
202794
AMERIGROUP
—
01
—
212107
AVMED
—
01
—
25818
BCBS
—
05
—
375872900
—
FL
01
—
591452754B
HUMANA
—
01
—
625660
AETNA
FL
01
—
940583
FIRST HEALTH
—
Enumeration date
09/08/2005
Last updated
03/24/2025
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