| Kv Sundaresh Md | |
|
5810 State Road 54 New Port Richey FL 34652-6050 | |
| (727) 845-3890 | |
| Not Available |
| Full Name | Kv Sundaresh Md |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 5810 State Road 54, New Port Richey, Florida |
| Authorized Official Name and Position | Koravangala V Sundaresh (OWNER) |
| Authorized Official Contact | 7274575522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kv Sundaresh Md 5810 State Road 54 New Port Richey FL 34652-6050 Ph: (727) 845-3890 | Kv Sundaresh Md 5810 State Road 54 New Port Richey FL 34652-6050 Ph: (727) 845-3890 |
| NPI Number | 1497146716 |
|---|---|
| Provider Enumeration Date | 02/09/2015 |
| Last Update Date | 02/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497146716 | NPI | - | NPPES |
| 069547500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME0042812 (Florida) | Primary |
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