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:
Health care specialties
| Specialty | Code | License # | 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 4 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 | 1053316133 | NPPES |
| Florida | MEDICAID | 039223500 | |
| Florida | Other | JQ057 | |
| Florida | Other | 42139 | |
| Florida | MEDICAID | 000462200 |
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