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NPI Code Detail

MEDICARE: VASUDEVA R NALIPIREDDY MD

MEDICARE: VASUDEVA R NALIPIREDDY 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
1207QG0300XGeriatric Medicine (Family Medicine) PhysicianME96607FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17729582OTHERFLAETNA
292262OTHERFLBLUE CROSS BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4375952OTHERFLWELLCARE
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346392362
Entity Type Code : Individual
Provider Name (Legal Business Name) : VASUDEVA R NALIPIREDDY MD
Provider Business Mailing Address
First Line : 1600 SARNO RD STE 119E
Second Line :
City : MELBOURNE
State : FL
Zip : 32935-4938
Country : US
Telephone Number : 321-254-2321
Fax Number : 321-208-8717
Provider Business Practice Location Address
First Line : 1600 SARNO RD STE 119E
Second Line :
City : MELBOURNE
State : FL
Zip : 32935-4938
Country : US
Telephone Number : 216-101-5573
Fax Number : 321-208-8717
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2007
Last Update Date : 12/11/2023

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Directions to “ VASUDEVA R NALIPIREDDY MD” Practice Location

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