Individual
SARASIJA RAVINDRA NAGELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
515 S KINGS AVE STE 3100, BRANDON, FL 33511-6060
(813) 681-9171
(813) 681-7580
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME 123876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015098100
—
FL
Enumeration date
04/24/2011
Last updated
11/25/2024
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