Individual
DR. INDI VASUDEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4218 W LINEBAUGH AVE, TAMPA, FL 33624-5241
(813) 961-6633
(813) 961-7733
Mailing address
4218 W LINEBAUGH AVE, TAMPA, FL 33624-5241
(813) 269-7555
(813) 269-7575
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME93153
FL
207RN0300X
Nephrology Physician
Primary
ME93153
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME93153
FLORIDA MEDICAL LICENSE
FL
Enumeration date
06/24/2005
Last updated
10/16/2025
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