Individual
MALLIKARJUNA R KAMIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8200 JOG RD, SUITE 204, BOYNTON BEACH, FL 33472-2981
(561) 496-3484
(561) 740-4763
Mailing address
8200 JOG RD, SUITE 204, BOYNTON BEACH, FL 33472-2981
(561) 496-3484
(561) 740-4763
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME44270
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000735600
—
FL
Enumeration date
07/24/2006
Last updated
07/23/2009
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