Sarada Penukonda in Cape Coral - Internal Medicine
Sarada Penukonda - NPI 1992887061
Sarada Penukonda is a Internal Medicine in Cape Coral, Florida. Sarada Penukonda practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Sarada Penukonda is 1992887061. The last update date is 2015-01-30.
Sarada Penukonda's current location address is 323 Del Prado Blvd., S, Cape Coral, Florida. You can contact this provider via phone number 2395743382 and fax number 2395745897. The mailing address for Sarada Penukonda is 323 Del Prado Blvd., S, Cape Coral, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sarada Penukonda |
|---|---|
| Address | 323 Del Prado Blvd., S, Cape Coral, Florida |
| Phone Number | 2395743382 |
| Fax Number | 2395745897 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1992887061 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2015-01-30 |
Provider Mailing Address Detail
| Address | 323 Del Prado Blvd., S |
|---|---|
| City | Cape Coral |
| State | Florida (FL) |
| Post Code | 33990 |
| Phone Number | 2395743382 |
| Fax Number | 2395745897 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | ME0067197 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 250647500 | FL | -- |
Post Comment/ Review Below
What is the Sarada Penukonda's 1992887061?
The Sarada Penukonda's NPI (National Provider Identifier) Number is 1992887061. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Sarada Penukonda's facilities are situated?
The facilities of Sarada Penukonda are physically located at the following address: 323 Del Prado Blvd., S, Cape Coral, FL, 33990.
What is Sarada Penukonda's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sarada Penukonda's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1992887061 to Sarada Penukonda?
The Centers for Medicare & Medicaid Services originally issued the 1992887061 to Sarada Penukonda on 2006-10-19.
As of what date were the details related to Sarada Penukonda most recently updated or revised?
The information pertaining to Sarada Penukonda, including its address, specialty, and other relevant details, was last updated or revised on 2015-01-30.
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