Healthcare Provider Details

I. General information

NPI: 1356514392
Provider Name (Legal Business Name): PADMAVATHI VEERA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PADMAVATHI PENDURTY M.D.

II. Dates (important events)

Enumeration Date: 04/10/2008
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

483 N SEMORAN BLVD # 210
WINTER PARK FL
32792-3800
US

IV. Provider business mailing address

483 N SEMORAN BLVD # 210
ORLANDO FL
32807-3323
US

V. Phone/Fax

Practice location:
  • Phone: 407-645-1847
  • Fax:
Mailing address:
  • Phone: 407-645-1847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME101344
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME101344
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME101344
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: