| Kiran Tirumalasetty Llc | |
|
9332 State Road 54 Ste 202 New Port Richey FL 34655-1810 | |
| (727) 597-4441 | |
| Not Available |
| Full Name | Kiran Tirumalasetty Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9332 State Road 54 Ste 202, New Port Richey, Florida |
| Authorized Official Name and Position | Kiran Tirumalasetty (MD / OWNER) |
| Authorized Official Contact | 7275974441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiran Tirumalasetty Llc 9332 State Road 54 Ste 202 New Port Richey FL 34655-1810 Ph: (727) 597-4441 | Kiran Tirumalasetty Llc 9332 State Road 54 Ste 202 New Port Richey FL 34655-1810 Ph: (727) 597-4441 |
| NPI Number | 1578295697 |
|---|---|
| Provider Enumeration Date | 06/28/2022 |
| Last Update Date | 06/28/2022 |
| Medicare PECOS PAC ID | 1951781632 |
|---|---|
| Medicare Enrollment ID | O20220712002469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578295697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kiran Tirumalasetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104480854 PECOS PAC ID: 3779963459 Enrollment ID: I20220712002755 |
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