Individual
KANTHA MEDEPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 W SAMPLE RD STE 201, DEERFIELD BEACH, FL 33064-3547
(954) 876-2575
(954) 888-3902
Mailing address
1608 SE 3RD AVE FL 3, FORT LAUDERDALE, FL 33316-2564
(954) 876-2575
(954) 888-3902
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME174113
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127046400
—
FL
Enumeration date
04/02/2014
Last updated
10/20/2025
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