Individual
SUJATHA TADICHERLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2336 CRESTOVER LN STE 101, WESLEY CHAPEL, FL 33544-6794
(813) 606-4144
(813) 666-1508
Mailing address
2336 CRESTOVER LN STE 101, WESLEY CHAPEL, FL 33544-6794
(813) 606-4144
(813) 666-1508
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME103564
FL
Other
Enumeration date
09/18/2008
Last updated
05/22/2023
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