Organization
TOTAL KIDNEY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANKATA REDDIVARI M.D. (OWNER)
(410) 370-1530
Entity
Organization
Contact information
Practice address
2810 W SAINT ISABEL ST, STE 101, TAMPA, FL 33607-6375
(813) 873-7479
Mailing address
PO BOX 14657, CLEARWATER, FL 33766-4657
(727) 797-6768
(727) 797-7648
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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