Healthcare Provider Details

I. General information

NPI: 1902287899
Provider Name (Legal Business Name): ORLANDO INPATIENT MEDICINE, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2015
Last Update Date: 07/24/2024
Certification Date: 07/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1507 S HIAWASSEE RD STE 206
ORLANDO FL
32835-5719
US

IV. Provider business mailing address

PO BOX 117781
ATLANTA GA
30368-7781
US

V. Phone/Fax

Practice location:
  • Phone: 407-445-9545
  • Fax:
Mailing address:
  • Phone: 407-445-9545
  • Fax: 407-299-9141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RAVI P AKELLA
Title or Position: OWNER
Credential: MD
Phone: 407-445-9545