MEDICARE: SUNEETA PINNAMANENI 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	207RX0202X	Medical Oncology Physician	ME99681	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265609580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUNEETA PINNAMANENI MD

Provider Business Mailing Address
First Line	:	9832 US HIGHWAY 441
Second Line	:	STE 101
City	:	LEESBURG
State	:	FL
Zip	:	34788-3966
Country	:	US
Telephone Number	:	352-787-3341
Fax Number	:	352-787-7491

Provider Business Practice Location Address
First Line	:	9832 US HIGHWAY 441
Second Line	:	STE 101
City	:	LEESBURG
State	:	FL
Zip	:	34788-3966
Country	:	US
Telephone Number	:	352-787-3341
Fax Number	:	352-787-7491

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

Provider Enumeration Date	:	05/15/2008
Last Update Date	:	08/22/2010

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Directions to “ SUNEETA PINNAMANENI MD” Practice Location

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