Individual
DR. JAGANNADHA RAO RAYAVARAPU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1720 S GADSDEN ST, TALLAHASSEE, FL 32301-5506
(850) 576-4073
(850) 577-0675
Mailing address
1720 S GADSDEN ST, TALLAHASSEE, FL 32301-5506
(850) 576-4073
(850) 577-0675
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME80138
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263972600
—
FL
05
—
263972601
—
FL
05
—
263972602
—
FL
05
—
263972603
—
FL
05
—
263972604
—
FL
05
—
263972605
—
FL
05
—
263972606
—
FL
05
—
264779600
—
FL
Enumeration date
09/28/2006
Last updated
01/16/2014
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