Healthcare Provider Details

I. General information

NPI: 1942570239
Provider Name (Legal Business Name): RAMESH BABU ALUDANDI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2012
Last Update Date: 11/14/2020
Certification Date: 11/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1248 MARINER BLVD
SPRING HILL FL
34609-5657
US

IV. Provider business mailing address

6010 S WESTERN ST UNIT 100
AMARILLO TX
79110-3653
US

V. Phone/Fax

Practice location:
  • Phone: 352-684-8477
  • Fax:
Mailing address:
  • Phone: 806-803-9401
  • Fax: 806-803-9412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number51069
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS46590
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: