Individual
SUSRUTHI RAJANALA PENUMAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1150 NW 14TH ST STE 503, MIAMI, FL 33136-2116
(305) 243-6704
Mailing address
1600 NW 10TH AVE # 2023A, MIAMI, FL 33136-1015
(305) 243-4472
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME176501
FL
Other
Enumeration date
03/31/2020
Last updated
12/19/2025
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