Telukuntla, Koteshwar R
Telukuntla, Koteshwar R is an individual health care provider with primary practice located at 3630 Manatee Ave W Ste B, Bradenton FL 34205-2557. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Telukuntla, Koteshwar R can be contacted via phone (941) 792-1881.Contact Information
Primary practice address
3630 Manatee Ave W Ste B
Bradenton FL 34205-2557
Phone: (941) 792-1881
Fax: (941) 795-3924
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | ME72534 | Florida |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | ME72534 | Florida |
Profile Details
| NPI number | 1588667901 |
|---|---|
| LBN Legal business name | Telukuntla, Koteshwar R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Sep 2nd, 2022 - about 2 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 | 1588667901 | NPPES |
| Florida | MEDICAID | 259061100 | |
| Florida | Other | P00387326 |
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