Individual
DR. ANURADHA JEYARAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4211 VAN DYKE RD STE 200, LUTZ, FL 33558-8005
(813) 321-6237
(813) 463-1801
Mailing address
4211 VAN DYKE RD STE 200, LUTZ, FL 33558-8005
(813) 321-6237
(813) 463-1801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.090229
OH
207R00000X
Internal Medicine Physician
ME110489
FL
208M00000X
Hospitalist Physician
35-090229
OH
208M00000X
Hospitalist Physician
Primary
ME110489
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004869800
—
FL
05
—
2943579
—
OH
Enumeration date
09/18/2007
Last updated
10/03/2022
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