Vasudevan Kidambi, Md, Pa | |
3200 Sw 34 Avenue Suite 302 Ocala FL 34474 | |
(352) 732-2900 | |
(352) 732-4430 |
Full Name | Vasudevan Kidambi, Md, Pa |
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Speciality | Family Medicine |
Location | 3200 Sw 34 Avenue, Ocala, Florida |
Authorized Official Name and Position | Vasudevan Anjore Kidambi (DOCTOR) |
Authorized Official Contact | 3527322900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Vasudevan Kidambi, Md, Pa P.o. Box 3308 Ocala FL 34478 Ph: (352) 732-2900 | Vasudevan Kidambi, Md, Pa 3200 Sw 34 Avenue Suite 302 Ocala FL 34474 Ph: (352) 732-2900 |
NPI Number | 1932406469 |
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Provider Enumeration Date | 02/18/2011 |
Last Update Date | 02/18/2011 |
Medicare PECOS PAC ID | 5395914774 |
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Medicare Enrollment ID | O20110802000395 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932406469 | NPI | - | NPPES |
379283800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME0068971 (* (Not Available)) | Primary |
Provider Name | Vasudevan Anjore Kidambi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093799298 PECOS PAC ID: 9830368992 Enrollment ID: I20110805000194 |
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