Individual
DR. MADHURYA POLAVARAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1275
(863) 284-1534
Mailing address
1324 LAKELAND HILLS BLVD, MANAGED CARE DEPT, LAKLAND, FL 33805
(863) 687-1100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME135994
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2015
Last updated
10/09/2020
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