Gummadi, Siva S.

Gummadi, Siva S. is an individual health care provider with primary practice located at 2105 Sw 20Th Pl , Ocala FL 34471-7734. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Gummadi, Siva S. can be contacted via phone (352) 622-4251.

Contact Information

Primary practice address
2105 Sw 20Th Pl Ocala FL 34471-7734
Phone: (352) 622-4251
Fax: (352) 622-0102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME72590 Florida
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME72590 Florida

Profile Details

NPI number 1063448488
LBN Legal business name Gummadi, Siva S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Mar 17th, 2016 - about 8 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 1063448488 NPPES
Florida MEDICAID 253395200
Florida Other P00209067
Florida Other 45041

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