Individual
VEDASHREE ENAGANDULA PANTHULU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
938 CYPRESS VILLAGE BLVD STE A, SUN CITY CENTER, FL 33573-6835
(813) 333-5080
(813) 773-7717
Mailing address
938 CYPRESS VILLAGE BLVD STE A, SUN CITY CENTER, FL 33573-6835
(813) 333-5080
(813) 773-7717
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME112723
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116559300
—
FL
Enumeration date
07/10/2009
Last updated
07/09/2024
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