Organization
DESARAJU AND KOMPELLA MDS PA
Active
Other names
Citrus Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAKRADHAR DESARAJU MD (OWNER)
(352) 795-6560
Entity
Organization
Contact information
Practice address
2484 N ESSEX AVE, HERNANDO, FL 34442-5321
(352) 746-1358
Mailing address
3600 N GRAYHAWK LOOP, LECANTO, FL 34461
(352) 746-1358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME93164
FL
Other
Enumeration date
10/20/2017
Last updated
07/09/2021
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