SUDARSAN R KAMISETTY MD NPI 1376793331

NPI Information

NPI: 1376793331
Provider Name: SUDARSAN R KAMISETTY, MD
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

CLIA Number: 10D0962966

Address:
681 W LUMSDEN RD
BRANDON, FL
ZIP 33511
Phone: (813) 655-7726
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Sudarsan R Kamisetty, MD is an adolescent medicine pediatrics in Brandon, FL. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Sudarsan R Kamisetty, MD NPI is 1376793331. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

681 W LUMSDEN RD
BRANDON, FL
ZIP 33511-911
Phone: (813) 655-7726
Fax: (813) 655-5617

The CLIA number assigned to this NPI record is 10D0962966 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2008 and was last updated on 9/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	ME70832	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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