Individual
VENKAT PRADEEPKUMAR AMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3854 SHERIDAN ST STE A, HOLLYWOOD, FL 33021-3630
(954) 966-3018
(954) 966-5249
Mailing address
3854 SHERIDAN ST STE A, HOLLYWOOD, FL 33021-3630
(954) 966-3018
(954) 966-5249
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME118739
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012855300
—
FL
Enumeration date
01/13/2011
Last updated
05/20/2024
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