Raju, Dantuluri P

Raju, Dantuluri P is an sole proprietor health care provider with primary practice located at 2840 Se 3Rd Ct Ste 100 , Ocala FL 34471-0480. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Raju, Dantuluri P can be contacted via phone (352) 622-1777.

Contact Information

Primary practice address
2840 Se 3Rd Ct Ste 100 Ocala FL 34471-0480
Phone: (352) 622-1777
Fax: (352) 622-1929
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 34166 Florida

Profile Details

NPI number 1053316133
LBN Legal business name Raju, Dantuluri P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Aug 27th, 2020 - about 5 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 1053316133 NPPES
Florida MEDICAID 039223500
Florida Other JQ057
Florida Other 42139
Florida MEDICAID 000462200

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