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NPI Code Detail

MEDICARE: SUDHA M MERANEY M.D.

MEDICARE:   SUDHA M MERANEY  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME84744FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
27100760OTHERFLAETNA
329033OTHERFLBLUE CROSS
41461805OTHERFLUNITED

General Provider Information

NPI Number : 1649239914
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUDHA M MERANEY M.D.
Provider Business Mailing Address
First Line : 2489 DIPLOMAT PKWY E
Second Line :
City : CAPE CORAL
State : FL
Zip : 33909-5422
Country : US
Telephone Number : 239-652-1800
Fax Number :
Provider Business Practice Location Address
First Line : 2489 DIPLOMAT PKWY E
Second Line :
City : CAPE CORAL
State : FL
Zip : 33909-5422
Country : US
Telephone Number : 239-652-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 12/28/2022

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Directions to “ SUDHA M MERANEY M.D.” Practice Location

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