Healthcare Provider Details

I. General information

NPI: 1922458322
Provider Name (Legal Business Name): NAGA SAI SHRAVAN TURAGA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2016
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

689 E ALTAMONTE DR
ALTAMONTE SPRINGS FL
32701-4801
US

IV. Provider business mailing address

1300 MERRITT DR STE 100
HENDERSON KY
42420-2788
US

V. Phone/Fax

Practice location:
  • Phone: 407-767-7262
  • Fax: 407-775-5002
Mailing address:
  • Phone: 337-261-6789
  • Fax: 812-464-9133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number01086951A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number56163
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME171390
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: