Individual
VASUNDHARA KUCHIBHOTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 SW 75TH TER, GAINESVILLE, FL 32607-6604
(352) 665-1215
Mailing address
1630 SW 75TH TER, GAINESVILLE, FL 32607-6604
(352) 665-1215
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
11005446
FL
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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