| Family Internal Medicine, Pa | |
|
7824 Lake Underhill Rd Suite H Orlando FL 32822-8201 | |
| (407) 384-1718 | |
| (407) 384-1806 |
| Full Name | Family Internal Medicine, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 7824 Lake Underhill Rd, Orlando, Florida |
| Authorized Official Name and Position | Ram K Reddy (OWNER) |
| Authorized Official Contact | 4073841718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Internal Medicine, Pa Po Box 940220 Maitland FL 32794-0220 Ph: (407) 384-1718 | Family Internal Medicine, Pa 7824 Lake Underhill Rd Suite H Orlando FL 32822-8201 Ph: (407) 384-1718 |
| NPI Number | 1295786069 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 05/20/2014 |
| Medicare PECOS PAC ID | 2567455165 |
|---|---|
| Medicare Enrollment ID | O20040407001687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295786069 | NPI | - | NPPES |
| 999999999 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ram K Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083666762 PECOS PAC ID: 0648263244 Enrollment ID: I20040408000198 |
| Provider Name | Ramiro Zurita |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134167232 PECOS PAC ID: 6204829724 Enrollment ID: I20040408000230 |
| Provider Name | Jean F Rodney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861400343 PECOS PAC ID: 5193788834 Enrollment ID: I20041104000528 |
| Provider Name | Camilo A Rincon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033206453 PECOS PAC ID: 4880628239 Enrollment ID: I20050924000105 |
| Provider Name | Kish0re R Patsamatla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710935267 PECOS PAC ID: 1557355799 Enrollment ID: I20071119000126 |
| Provider Name | Beth Burns |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558311464 PECOS PAC ID: 6901960616 Enrollment ID: I20090124000143 |
| Provider Name | Justin Ashmore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649417791 PECOS PAC ID: 3274687439 Enrollment ID: I20090821000613 |
| Provider Name | Christopher J Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891931051 PECOS PAC ID: 8224183140 Enrollment ID: I20100713000259 |
| Provider Name | Shailesh Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861402521 PECOS PAC ID: 9537354311 Enrollment ID: I20101108000478 |
| Provider Name | Madhavi Jakkula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639301328 PECOS PAC ID: 6103075551 Enrollment ID: I20121001000089 |
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