Piduru, Suseela
Piduru, Suseela is an individual health care provider with primary practice located at 4927 Van Dyke Rd , Lutz FL 33558-4813. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Piduru, Suseela can be contacted via phone (813) 960-3919.Contact Information
Primary practice address
4927 Van Dyke Rd
Lutz FL 33558-4813
Phone: (813) 960-3919
Fax: (813) 960-8414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME44800 | Florida |
Profile Details
| NPI number | 1477511384 |
|---|---|
| LBN Legal business name | Piduru, Suseela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | May 29th, 2012 - about 12 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 | 1477511384 | NPPES |
| Florida | Other | ME44800 | MEDICAL LICENSE |
| Florida | MEDICAID | 046849500 | MEDICAL LICENSE |
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