Healthcare Provider Details

I. General information

NPI: 1134998388
Provider Name (Legal Business Name): APARNA DWARAMPUDI DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2023
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17929 HUNTING BOW CIR STE 101
LUTZ FL
33558-5378
US

IV. Provider business mailing address

218 E BEARSS AVE # 241
TAMPA FL
33613-1625
US

V. Phone/Fax

Practice location:
  • Phone: 656-200-2620
  • Fax:
Mailing address:
  • Phone: 813-725-9226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO4535
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: