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NPI Code Detail

MEDICARE: DR. SUJAY RAO KAMISETTY MD

MEDICARE: DR. SUJAY RAO KAMISETTY 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
1207R00000XInternal Medicine PhysicianME166704FL
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1326625286
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUJAY RAO KAMISETTY MD
Provider Business Mailing Address
First Line : PO BOX 103450
Second Line :
City : GAINESVILLE
State : FL
Zip : 32610-3450
Country : US
Telephone Number : 352-265-8017
Fax Number :
Provider Business Practice Location Address
First Line : 1600 SW ARCHER RD
Second Line :
City : GAINESVILLE
State : FL
Zip : 32610-3003
Country : US
Telephone Number : 352-265-8017
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2021
Last Update Date : 02/19/2026

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