Individual
DR. SAMBASIVA K. RAO MUSUNURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14100 FIVAY RD, HUDSON, FL 34667-7180
(727) 862-1080
(727) 863-3093
Mailing address
14100 FIVAY RD, STE 160, HUDSON, FL 34667-7194
(727) 862-1080
(727) 863-3093
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
ME 37395
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252929700
—
FL
Enumeration date
05/23/2005
Last updated
04/13/2017
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