| Kalyani Gaddipati Md Pl | |
|
917 Rinehart Rd Suite 2051 Lake Mary FL 32746-4802 | |
| (407) 936-2444 | |
| (407) 936-2448 |
| Full Name | Kalyani Gaddipati Md Pl |
|---|---|
| Speciality | Internal Medicine |
| Location | 917 Rinehart Rd, Lake Mary, Florida |
| Authorized Official Name and Position | Kalyani Gaddipati (MGRM) |
| Authorized Official Contact | 4079362444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kalyani Gaddipati Md Pl 917 Rinehart Rd Suite 2051 Lake Mary FL 32746-4802 Ph: (407) 936-2444 | Kalyani Gaddipati Md Pl 917 Rinehart Rd Suite 2051 Lake Mary FL 32746-4802 Ph: (407) 936-2444 |
| NPI Number | 1114156569 |
|---|---|
| Provider Enumeration Date | 07/07/2009 |
| Last Update Date | 07/07/2009 |
| Medicare PECOS PAC ID | 2466596341 |
|---|---|
| Medicare Enrollment ID | O20100216000255 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114156569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Kalyani Gaddipati |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033165964 PECOS PAC ID: 3971548538 Enrollment ID: I20060221000516 |
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