Panthulu, Vedashree Enagandula
Panthulu, Vedashree Enagandula is an individual health care provider with primary practice located at 938 Cypress Village Blvd Ste A , Sun City Center FL 33573-6835. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Panthulu, Vedashree Enagandula can be contacted via phone (813) 333-5080.Contact Information
Primary practice address
938 Cypress Village Blvd Ste A
Sun City Center FL 33573-6835
Phone: (813) 333-5080
Fax: (813) 773-7717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | ME112723 | Florida |
Profile Details
| NPI number | 1750510723 |
|---|---|
| LBN Legal business name | Panthulu, Vedashree Enagandula |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2009 |
| Last updated | Jul 9th, 2024 - about last year |
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 | 1750510723 | NPPES |
| Florida | MEDICAID | 116559300 |
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