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Individual

SREERAM MADDIPATLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9430 TURKEY LAKE RD, ORLANDO, FL 32819-8015
(407) 648-3800
(407) 425-5203
Mailing address
9430 TURKEY LAKE RD STE 218, ORLANDO, FL 32819-8015
(407) 648-3800
(407) 425-5203

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME102364
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001904900
FL
01
ME102364
MEDICAL LICENSE
FL
Enumeration date
10/09/2008
Last updated
06/28/2019
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