Desiraju, Madhushree

Desiraju, Madhushree is an individual health care provider with primary practice located at 9145 Narcoossee Rd Ste 103 , Orlando FL 32827-5768. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Desiraju, Madhushree can be contacted via phone (407) 243-2040.

Contact Information

Primary practice address
9145 Narcoossee Rd Ste 103 Orlando FL 32827-5768
Phone: (407) 243-2040
Fax: (407) 243-2043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME78762 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME78762 Florida

Profile Details

NPI number 1114977790
LBN Legal business name Desiraju, Madhushree
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114977790 NPPES
Florida MEDICAID 258496400
Florida Other 591859126

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