MEDICARE: DR. PRAMATI REDDY KUMBHA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME88457	FL

General Provider Information

NPI Number	:	1104951888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRAMATI REDDY KUMBHA MD

Provider Business Mailing Address
First Line	:	2323 CURLEW RD
Second Line	:	STE 6E
City	:	DUNEDIN
State	:	FL
Zip	:	34698-9330
Country	:	US
Telephone Number	:	727-789-2922
Fax Number	:	727-787-4288

Provider Business Practice Location Address
First Line	:	6239 FORT KING RD
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33542-2530
Country	:	US
Telephone Number	:	813-783-3020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	07/08/2007

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