Individual
KIRAN KUMAR DHANIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
409 BAYSHORE BLVD, TAMPA, FL 33606
(813) 844-5544
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-7000
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
A103967
CA
204F00000X
Transplant Surgery Physician
Primary
ME136464
FL
208600000X
Surgery Physician
A103967
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025040200
—
FL
Enumeration date
06/06/2008
Last updated
06/08/2021
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