Mediratta, Sundeep
Mediratta, Sundeep is an individual health care provider with primary practice located at 805 Oakley Seaver Dr Ste A , Clermont FL 34711-1968. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Mediratta, Sundeep can be contacted via phone (407) 738-4200.Contact Information
Primary practice address
805 Oakley Seaver Dr Ste A
Clermont FL 34711-1968
Phone: (407) 738-4200
Fax: (407) 705-2540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME85297 | Florida |
| Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology | 207RA0001X | ME85297 | Florida |
Profile Details
| NPI number | 1366403867 |
|---|---|
| LBN Legal business name | Mediratta, Sundeep |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2006 |
| Last updated | Nov 28th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366403867 | NPPES |
| Florida | MEDICAID | 265507100 | |
| Florida | Other | ME85297 |
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