Subhakararao Medidi, MD | |
14254 State Road 574, Tom Lee Community Health Center, Dover, FL 33527-4312 | |
(813) 349-7700 | |
(813) 349-7761 |
Full Name | Subhakararao Medidi |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 46 Years |
Location | 14254 State Road 574, Dover, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942317516 | NPI | - | NPPES |
373811600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME48578 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Suncoast Community Health Centers, Inc | 3870402548 | 31 |
Entity Name | Suncoast Community Health Centers, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285644799 PECOS PAC ID: 3870402548 Enrollment ID: O20040107000797 |
Mailing Address | Practice Location Address |
---|---|
Subhakararao Medidi, MD 13110 Elk Mountain Dr, Suncoast Community Health Centers Inc, Riverview, FL 33579-7182 Ph: (813) 349-7562 | Subhakararao Medidi, MD 14254 State Road 574, Tom Lee Community Health Center, Dover, FL 33527-4312 Ph: (813) 349-7700 |
Dr. Saroja Medidi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14254 Martin Luther King Blvd, Dover, FL 33527 Phone: 813-349-7700 Fax: 813-349-7761 | |
Dr. Sylvia M. Santiago, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 14254 Martin Luther King Blvd, Dover, FL 33527 Phone: 813-349-7700 Fax: 813-938-6422 | |
Dr. Brian Michael Shaub, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14254 Martin Luther King Blvd, Dover, FL 33527 Phone: 813-349-7700 Fax: 813-349-7761 |