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Individual

SOMASEKHARA REDDY KAIPU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.,

Contact information

Practice address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 780-2155
(813) 355-5017
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 528-4975

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME106300
FL
208M00000X
Hospitalist Physician
Primary
ME106300
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002583600
FL
01
CA4487
RAILROAD MEDICAID
FL
Enumeration date
05/02/2008
Last updated
07/07/2017
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