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DEVARAKONDA & RAJENDRAN MD S NPI 1952334443


NPI Information

NPI: 1952334443
Provider Name: DEVARAKONDA & RAJENDRAN MD S
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1507 W REYNOLDS ST
STE B
PLANT CITY, FL
ZIP 33563
Phone: (813) 752-1053
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DEVARAKONDA & RAJENDRAN MD S is a specialist in Plant City, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DEVARAKONDA & RAJENDRAN MD S NPI is 1952334443. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1507 W REYNOLDS ST
STE B
PLANT CITY, FL
ZIP 33563-702
Phone: (813) 752-1053
Fax: (813) 754-6739

The provider's authorized official is Subranmanyam Devarakonda .
The authorized official title is Owner and has the following contact phone number (813) 752-1053.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 8/5/2010.


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
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CB7529OTHERFLORIDARAILROAD
298568OTHERFLORIDABCBS
398568MEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE
4060981100MEDICAIDFLORIDA

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: 5/5/2024

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