Dantuluri P Raju in Fort Myers - Adult Medicine
Dantuluri P Raju - NPI 1053316133
Dantuluri P Raju is a Adult Medicine in Fort Myers, Florida. Dantuluri P Raju practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Dantuluri P Raju is 1053316133. The last update date is 2020-08-27.
Dantuluri P Raju's current location address is 2675 Winkler Ave Fl 2, Fort Myers, Florida. You can contact this provider via phone number 8778563774. The mailing address for Dantuluri P Raju is 2675 Winkler Ave Fl 2, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dantuluri P Raju |
|---|---|
| Address | 2675 Winkler Ave Fl 2, Fort Myers, Florida |
| Phone Number | 8778563774 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053316133 |
|---|---|
| Provider Enumeration Date | 2005-06-16 |
| Last Updated Date | 2020-08-27 |
Provider Mailing Address Detail
| Address | 2675 Winkler Ave Fl 2 |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 3390193420 |
| Phone Number | 8778563774 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 34166 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39223500 | FL | -- | |
| JQ057 | FL | MEDICARE | |
| 42139 | FL | BCBS | |
| 462200 | FL | -- |
Post Comment/ Review Below
What is the Dantuluri P Raju's unique identification number?
The Dantuluri P Raju has been assigned the NPI (National Provider Identifier) Number 1053316133 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Dantuluri P Raju is physically located?
The Dantuluri P Raju is situated at the following address: 2675 Winkler Ave Fl 2, Fort Myers, FL 3390193420.
What is Dantuluri P Raju's area of expertise and its corresponding taxonomy classification?
The Dantuluri P Raju's field of specialization is Adult Medicine, and it falls under the taxonomy code 207Qa0505X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1053316133 assigned to Dantuluri P Raju?
The Dantuluri P Raju was issued its 1053316133 on 2005-06-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Dantuluri P Raju's information last updated?
The Dantuluri P Raju's information was last updated on 2020-08-27.