Healthcare Provider Details

I. General information

NPI: 1457419756
Provider Name (Legal Business Name): SREELATHA VARKALA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36542 SR 54
ZEPHYRHILLS FL
33541-6938
US

IV. Provider business mailing address

5350 SPRING HILL DR
SPRING HILL FL
34606-4562
US

V. Phone/Fax

Practice location:
  • Phone: 813-815-9976
  • Fax: 813-815-9979
Mailing address:
  • Phone: 352-277-5348
  • Fax: 352-606-2857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME955528
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME95844
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: