Individual
DR. RAJU KUMAR VADDEPALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3530 KRAFT RD STE 100, NAPLES, FL 34105-5020
(239) 353-6636
(239) 354-1865
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME164469
FL
207RX0202X
Medical Oncology Physician
Primary
ME164469
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120011100
—
FL
Enumeration date
06/28/2012
Last updated
01/07/2025
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