Neerukonda, Suhas P

Neerukonda, Suhas P is an individual health care provider with primary practice located at 1301 Plantation Island Dr Suite 203, St Augustine FL 32080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Neerukonda, Suhas P can be contacted via phone (904) 461-0821.

Contact Information

Primary practice address
1301 Plantation Island Dr Suite 203 St Augustine FL 32080
Phone: (904) 461-0821
Fax: (904) 461-0823
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME 78969 Florida

Profile Details

NPI number 1538145602
LBN Legal business name Neerukonda, Suhas P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Jan 15th, 2024 - about 10 months 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 1538145602 NPPES
Florida MEDICAID 257641400
Florida Other 49308

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