Individual
DR. RAMANABABU V PALADUGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11200 SEMINOLE BLVD STE 210, SEMINOLE, FL 33778-3239
(727) 319-8900
(727) 319-8700
Mailing address
PO BOX 3925, SEMINOLE, FL 33775-3925
(727) 319-8900
(727) 319-8700
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME79071
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269169800
—
FL
01
—
571170980
TAX ID
FL
01
—
K4638
MEDICARE GROUP
FL
01
—
P00060383
RAILROAD MEDICARE
FL
Enumeration date
07/01/2006
Last updated
01/26/2023
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