Individual
DR. RAMCHANDRA NALLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1920 LAKELAND HILLS BLVD, LAKELAND, FL 33805-2902
(863) 683-4661
Mailing address
3111 LAKE ELLEN DR, TAMPA, FL 33618-3617
(419) 302-0888
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35-077589N
OH
208000000X
Pediatrics Physician
Primary
ME141106
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116614500
—
FL
05
—
2224140
—
OH
Enumeration date
04/26/2006
Last updated
11/27/2023
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