Siddharthan, Renuka

Siddharthan, Renuka is an individual health care provider with primary practice located at 1515 S Osprey Ave Ste A1 , Sarasota FL 34239-2933. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Siddharthan, Renuka can be contacted via phone (941) 917-7197.

Contact Information

Primary practice address
1515 S Osprey Ave Ste A1 Sarasota FL 34239-2933
Phone: (941) 917-7197
Fax: (941) 917-4016
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME0051650 Florida
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X ME 0051650 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME51650 Florida

Profile Details

NPI number 1801838222
LBN Legal business name Siddharthan, Renuka
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Feb 21st, 2018 - about 6 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 1801838222 NPPES
Florida Other 14Q7L BCBS
Florida MEDICAID 064032800 BCBS

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