Organization
SHANTA A PURUSHOTHAM MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHANTA A PURUSHOTHAM MD (MD)
(352) 799-0135
Entity
Organization
Contact information
Practice address
711 HARVARD ST, BROOKSVILLE, FL 34601-2842
(352) 799-0135
(352) 754-5394
Mailing address
711 HARVARD ST, BROOKSVILLE, FL 34601-2842
(352) 799-0135
(352) 754-5394
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376671300
—
FL
Enumeration date
06/16/2006
Last updated
09/23/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us