| Rk Medical Pa | |
|
1000 Waterman Way Tavares FL 32778-5266 | |
| (407) 330-8368 | |
| Not Available |
| Full Name | Rk Medical Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 Waterman Way, Tavares, Florida |
| Authorized Official Name and Position | Karuna Gaddam (PRESIDENT) |
| Authorized Official Contact | 4073308368 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rk Medical Pa Po Box 2056 Mount Dora FL 32756-2056 Ph: (407) 330-8368 | Rk Medical Pa 1000 Waterman Way Tavares FL 32778-5266 Ph: (407) 330-8368 |
| NPI Number | 1851538375 |
|---|---|
| Provider Enumeration Date | 01/21/2009 |
| Last Update Date | 03/26/2009 |
| Medicare PECOS PAC ID | 3476610205 |
|---|---|
| Medicare Enrollment ID | O20090324000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851538375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME102779 (Florida) | Primary |
| Provider Name | Karuna S Gaddam |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356374839 PECOS PAC ID: 2163429804 Enrollment ID: I20090324000123 |
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