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Individual

DR. VENKAT VIKRAM CHITUMALLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2980 S.E. 3RD COURT, OCALA, FL 34471-0421
(352) 622-4231
(352) 622-4231
Mailing address
2980 S.E. 3RD COURT, OCALA, FL 34471-0421
(352) 622-4231
(352) 622-0513

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301085558
MI
207RN0300X
Nephrology Physician
Primary
ME109160
FL
390200000X
Student in an Organized Health Care Education/Training Program
4301085558
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003847100
FL
Enumeration date
06/12/2007
Last updated
12/06/2011
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