MEDICARE: RAMESH BABU ALUDANDI

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
1	183500000X	Pharmacist	51069	TX
2	183500000X	Pharmacist	PS46590	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51069	OTHER	TX	R.PH LICENCE
2	PS46590	OTHER	FL	R.PH LICENCE

General Provider Information

NPI Number	:	1942570239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMESH BABU ALUDANDI

Provider Business Mailing Address
First Line	:	6010 S WESTERN ST UNIT 100
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79110-3653
Country	:	US
Telephone Number	:	806-803-9401
Fax Number	:	806-803-9412

Provider Business Practice Location Address
First Line	:	1248 MARINER BLVD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-5657
Country	:	US
Telephone Number	:	352-684-8477
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2012
Last Update Date	:	11/14/2020

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